Organization
JOHN P. GEREMIA, LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P GEREMIA LCSW-C (PSYCHOTHERAPIST)
(410) 799-5092
Entity
Organization
Contact information
Practice address
8331 LINCOLN DR, JESSUP, MD 20794-9454
(410) 799-5092
(410) 799-5092
Mailing address
8331 LINCOLN DR, JESSUP, MD 20794-9454
(410) 799-5092
(410) 799-5092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10830
LICENSE
MD
Enumeration date
10/10/2007
Last updated
10/10/2007
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