Most Relevant Information
Provider Data
| NPI Number: | 1003637158 |
| Provider Name: | JESSICA LYNN LAW LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW139317 |
Most Important Dates
| Enumeration Date: | 10/22/2024 |
| Last Updated: | 10/22/2024 |
Provider Practice Location
1880 JOHN F KENNEDY BLVD STE 1110
PHILADELPHIA
PA
191037447
Practice Location Phone/Fax
| Phone: | 2155447600 |
| Fax: |
Provider Mailing Location
2631 S PERCY ST
PHILADELPHIA, PA
PA
19148
Provider Mailing Phone/Fax
| Phone: | 6105046916 |
| Fax: |