Individual
JENNIFER E DJANISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 EXETER CT APT 304, FREDERICK, MD 21703-2865
(631) 355-6870
Mailing address
6960 EXETER CT APT 304, FREDERICK, MD 21703-2865
(631) 355-6870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/09/2022
Last updated
08/09/2023
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