Elijah Natia Frazier-Jackson

NPI #1952115255 in Glenside, Pennsylvania

Provider Information

NPI Number: 1952115255
Entity Type: Individual
Name: Elijah Natia Frazier-Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 5, 2025
Last Updated: Feb 5, 2025

Practice Location

Address: 221 RUSCOMBE AVE
City: Glenside
State: Pennsylvania
ZIP Code: 19038-1610
Phone: (215) 350-7193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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