Individual
MS. JENNENE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, BCD
Contact information
Practice address
11315 PEMBROOKE SQ, STE 112, WALDORF, MD 20603-4806
(301) 638-5001
(301) 638-5003
Mailing address
6798 AMHERST RD, BRYANS ROAD, MD 20616-3046
(301) 638-5001
(301) 638-5003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008912
MA
1041C0700X
Clinical Social Worker
Primary
03791
MD
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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