Individual
MS. JAEDYN MARIE BALLENGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10902 OLD PRINCESS ANNE RD, PRINCESS ANNE, MD 21853-2940
(410) 651-4040
(888) 843-2455
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30321
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
08/02/2023
Last updated
08/10/2023
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