Individual
JESSICA LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4308 HARFORD RD, BALTIMORE, MD 21214-3116
(410) 426-5650
Mailing address
AVENUE A, BUILDING 22H, PERRY POINT, MD 21902
(410) 642-2411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21047
MD
Other
Enumeration date
01/04/2017
Last updated
03/18/2019
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