Individual
MR. JASON ROBERT COLLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1447 YORK RD STE 802, LUTHERVILLE, MD 21093-6017
(410) 823-3344
(410) 823-1214
Mailing address
310 WEATHERBEE RD, TOWSON, MD 21286-7807
(410) 960-5272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09972
MD
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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