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Individual

MS. JENNIFER ANNE UDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11026
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233484
KAISER
MD
01
279797000
MAGELLAN
MD
01
7925287
AETNA
MD
05
900802100
MD
01
A2840094
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
04/24/2013
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