Organization
JAN NOLAN LCSW-C CPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN NOLAN LCSW-C (OWNER)
(410) 591-9916
Entity
Organization
Contact information
Practice address
222 BOSLEY AVE, SUITE A-2, TOWSON, MD 21204-4328
(410) 591-9916
(410) 823-7853
Mailing address
222 BOSLEY AVE, SUITE A-2, TOWSON, MD 21204-4328
(410) 591-9916
(410) 823-7853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13356
MD
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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