Individual
LORI ELAINE JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
611 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3941
(410) 234-9753
Mailing address
5 MADARY RD, SEVERNA PARK, MD 21146-1211
(410) 647-1069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12869
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226525
VALUE OPTIONS
MD
Enumeration date
12/29/2006
Last updated
07/08/2007
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