Individual
JENNIFER SUSSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
10705 CHARTER DR STE 410, COLUMBIA, MD 21044-2800
(443) 653-1363
Mailing address
2705 SILVER HAMMER WAY, BROOKEVILLE, MD 20833-3244
(631) 512-2610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23272
MD
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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