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Individual

JENNIFER REDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
44 E GORDON ST, BEL AIR, MD 21014-2916
(410) 808-7623
(410) 838-8953
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(411) 366-8530

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11772
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278321
COMPSYCH
MD
01
399439
TRICARE
MD
01
621656-02
CAREFIRST BCBS
MD
01
T541-0074
CAREFIRST BCBS
MD
Enumeration date
06/30/2006
Last updated
11/26/2007
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