Individual
JEFFREY PERCACCIANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2007 TIDEWATER COLONY DR STE 1A, ANNAPOLIS, MD 21401-2102
(410) 294-9300
Mailing address
2007 TIDEWATER COLONY DR STE 1A, ANNAPOLIS, MD 21401-2102
(410) 294-9300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28954
MD
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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