Individual
MRS. JESSICA RAQUEL FENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4683 YORKSHIRE DR, ELLICOTT CITY, MD 21043-6506
(410) 720-2470
Mailing address
4683 YORKSHIRE DR, ELLICOTT CITY, MD 21043-6506
(410) 720-2470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16488
MD
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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