Individual
NANCY JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MCPHEE LN, LA PLATA, MD 20646-5992
(703) 507-3560
Mailing address
118 MCPHEE LN, LA PLATA, MD 20646-5992
(703) 507-3560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23473
MD
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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