Individual
MS. JENNIFER WIEJACZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6539
(410) 222-6785
Mailing address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-6785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11864
MD
Other
Enumeration date
03/20/2007
Last updated
03/29/2010
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