Individual
MR. HIRAM JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
3102 FLORAL PARK RD, CLINTON, MD 20735-9665
(301) 292-2778
(301) 292-0275
Mailing address
12609 SHOLTON ST, UPPER MARLBORO, MD 20774-1710
(301) 218-1752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP142
MD
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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