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NPI Code Detail

MEDICARE: JESSICA HARDING LMSW

MEDICARE:   JESSICA  HARDING  LMSW
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
1104100000XSocial Worker28122MD

General Provider Information

NPI Number : 1588375489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HARDING LMSW
Provider Business Mailing Address
First Line : 10053 CARILLON DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-6207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2431 SOLOMONS ISLAND RD STE 200
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3730
Country : US
Telephone Number : 410-916-3464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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Directions to “ JESSICA HARDING LMSW” Practice Location

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