Individual
MS. JACKLYN DAWN HOLLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13956
MD
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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