Individual
ELIJAH NATIA FRAZIER-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 RUSCOMBE AVE, GLENSIDE, PA 19038-1610
(215) 350-7193
Mailing address
221 RUSCOMBE AVE, GLENSIDE, PA 19038-1610
(215) 350-7193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139071
PA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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