Individual
MRS. JILLIAN KEDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(410) 804-1497
Mailing address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(410) 804-1497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15189545
CAQH
MD
Enumeration date
07/13/2021
Last updated
07/13/2021
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