Individual
MRS. JENNIFER DAWN HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LGSW
Contact information
Practice address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
(410) 758-1223
Mailing address
PO BOX 718, CENTREVILLE, MD 21617-0718
(410) 758-2211
(410) 758-1223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17927
MD
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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