Individual
ALYCE JURGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.-C.
Contact information
Practice address
2000 GIRARD AVE, BALTIMORE, MD 21211-1331
(570) 840-1559
Mailing address
3925 BEECH AVE, APT. 509, BALTIMORE, MD 21211-2200
(570) 840-1559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14303
MD
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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