Individual
JEAN ST VAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
426 DORCHESTER AVE, CAMBRIDGE, MD 21613-2446
(410) 228-3929
Mailing address
426 DORCHESTER AVE, CAMBRIDGE, MD 21613-2446
(410) 228-3929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G07869
MD
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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