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Organization

JODI WAYNE, LCSW-C, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA WAYNE LCSW-C (THERAPIST)
(443) 417-8011
Entity
Organization

Contact information

Practice address
336 S MAIN ST STE 2CA, BEL AIR, MD 21014-3978
(443) 417-8011
Mailing address
121 BRIARCLIFF LN, BEL AIR, MD 21014-5555
(443) 417-8011

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0347311
MD
Enumeration date
01/21/2019
Last updated
01/21/2019
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