Individual
JASPER MISLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
910 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3718
(410) 919-9665
Mailing address
801 CHANCE CT, STREET, MD 21154-1648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34871
MD
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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