Individual
JENNIFER PAIGE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22326 EXPLORATION DR, LEXINGTON PARK, MD 20653-2020
(301) 904-9422
Mailing address
22665 BRETMAR DR, LEONARDTOWN, MD 20650-2229
(301) 904-9422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32118
MD
1041C0700X
Clinical Social Worker
6734
ND
1041C0700X
Clinical Social Worker
I.2304873-SUPV
OH
Other
Enumeration date
05/21/2019
Last updated
02/27/2025
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