JODI GERSON MISCANNON

PHILADELPHIA, PA
NPI1972739902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: PA  SW010517L)
Enumeration Date2009-06-04
Last Update Date2009-06-04
Business Address
-- JODI GERSON MISCANNON LSW
102 E MERMAID LN
PHILADELPHIA, PA 19118-3507
Phone number: 215-248-7605
Mailing Address
-- JODI GERSON MISCANNON LSW
102 E MERMAID LN
PHILADELPHIA, PA 19118-3507
Phone number: 215-248-7605