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Individual

MRS. GAIL JOANN WEISSERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
23627 WILLOW POND RD, DENTON, MD 21629-2104
(410) 479-0434
(410) 479-2723
Mailing address
23627 WILLOW POND RD, DENTON, MD 21629-2104
(410) 479-0434
(410) 479-2723

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
02976
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303241800
MD
Enumeration date
01/30/2006
Last updated
09/24/2023
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