Organization
GROWING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL JEROME LCSW-C (CLINICAL SOCIAL WORKER)
(856) 912-2292
Entity
Organization
Contact information
Practice address
3204 TOWER OAKS BLVD STE 180, ROCKVILLE, MD 20852-4206
(856) 912-2292
Mailing address
20448 WATERS POINT LN, GERMANTOWN, MD 20874-1091
(856) 912-2292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17557
MD
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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