Individual
JESSICA MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PERELMAN CENTER FOR ADVANCED MEDICINE, 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2773
(215) 349-5314
Mailing address
3400 CIVIC CENTER BLVD, PERELMAN CENTER FOR ADVANCED MEDICINE, 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2773
(215) 349-5314
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
10/31/2013
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