Organization
BRENDA JAFFE, LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA H.G. JAFFE LCSW-C (PROPRIETOR, THERAPIST)
(302) 242-1028
Entity
Organization
Contact information
Practice address
100 BOURBON ST, HAVRE DE GRACE, MD 21078-3147
(410) 939-9339
(410) 497-1104
Mailing address
PO BOX 835, HAVRE DE GRACE, MD 21078-0835
(302) 242-1028
(410) 497-1104
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15O4O3701
—
MD
Enumeration date
12/16/2010
Last updated
12/16/2010
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