Individual
JANNA HENESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 REISTERSTOWN RD, BALTIMORE, MD 21208-5104
(410) 929-4793
Mailing address
2015 THISTLEWOOD RD, BALTIMORE, MD 21209-3777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G11439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G11439
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
04/14/2020
Last updated
04/14/2020
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