Individual
MR. JEAN LEBRON AUDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LCSW-C
Contact information
Practice address
8713 GRANITE LN, LAUREL, MD 20708-2435
(410) 961-0120
Mailing address
8713 GRANITE LN, LAUREL, MD 20708-2435
(410) 961-0120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16948
MD
1041C0700X
Clinical Social Worker
LC50080459
DC
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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