Individual
BRENDA H. G. JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
100 BOURBON ST, HAVRE DE GRACE, MD 21078-3147
(410) 939-9339
(410) 497-1104
Mailing address
PO BOX 835, HAVRE DE GRACE, MD 21078-0835
(302) 242-1028
(410) 497-1104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13482
MD
1041C0700X
Clinical Social Worker
I-07510
NM
1041C0700X
Clinical Social Worker
Q1-0000249
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150403701
—
MD
Enumeration date
07/18/2006
Last updated
12/15/2010
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