Individual
JEFF GRIEPENTROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1419 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-2719
Mailing address
1001 SHARON DR, GLEN BURNIE, MD 21061-4138
(443) 848-9593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22779
MD
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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