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NPI Code Detail

MEDICARE: JENNIFER H BRAND LCSW-C

MEDICARE: JENNIFER H BRAND LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11112MD

General Provider Information

NPI Number : 1255898078
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER H BRAND LCSW-C
Provider Business Mailing Address
First Line : 2850 N RIDGE RD STE 208A
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3463
Country : US
Telephone Number : 410-988-5943
Fax Number : 410-988-5944
Provider Business Practice Location Address
First Line : 2850 N RIDGE RD STE 208A
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3463
Country : US
Telephone Number : 410-988-5943
Fax Number : 410-988-5944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2019
Last Update Date : 02/28/2019

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Directions to “ JENNIFER H BRAND LCSW-C” Practice Location

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