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Individual

MS. JENNIFER ANN STUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
123 S LOUDOUN ST, WINCHESTER, VA 22601-4721
(540) 431-5909
(540) 431-5366
Mailing address
123 S LOUDOUN ST, WINCHESTER, VA 22601-4721
(240) 979-8640

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008944
VA
1041C0700X
Clinical Social Worker
DP00943751
WV
1041C0700X
Clinical Social Worker
LC50080609
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063718716
WV
Enumeration date
01/28/2011
Last updated
02/24/2020
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