Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1245 EASTERN BLVD, BALTIMORE, MD 21221-3422
(410) 558-4700
(410) 780-0364
Mailing address
3501 SINCLAIR LN, SUITE 200A, BALTIMORE, MD 21213-2029
(410) 558-4890
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17030
MD
Other
Enumeration date
07/31/2014
Last updated
10/01/2018
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