Individual
MRS. JERREN EMERSON PELLICANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
PO BOX 80, ARNOLD, MD 21012-0080
(703) 346-6772
Mailing address
1712 N WINCHESTER RD, ANNAPOLIS, MD 21409-5851
(703) 346-6772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18792
MD
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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