Individual
JILLAYNE VAN DEN BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(443) 992-6221
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(443) 992-6221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18533
MD
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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