Individual
JENNIFER BARBARA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 TOWN SQUARE DR, LUSBY, MD 20657-6534
(410) 231-0488
Mailing address
44364 OCELOT WAY, CALIFORNIA, MD 20619-7118
(352) 219-2043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24624
MD
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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