Individual
MRS. JENNIFER JING FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
20 PLEASANT RIDGE DR, SUITE A, OWINGS MILLS, MD 21117-2560
(410) 902-5940
(410) 902-5941
Mailing address
20 PLEASANT RIDGE DR, SUITE A, OWINGS MILLS, MD 21117-2560
(410) 902-5940
(410) 902-5941
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LGM441
MD
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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