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Individual

JESSICA KISSANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7300 MARCIES CHOICE LN, FREDERICK, MD 21704-8369
(301) 600-2599
Mailing address
261 DILL AVE, FREDERICK, MD 21701-4937
(240) 405-7195

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16766
MD

Other

Enumeration date
03/04/2011
Last updated
03/04/2011
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