Individual
MS. JENNIFER M GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
18229 LEMAN LAKE DR, OLNEY, MD 20832-3013
(301) 774-8280
Mailing address
18229 LEMAN LAKE DR, OLNEY, MD 20832-3013
(301) 774-8280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
G13132
MD
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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