Individual
JILLISA CLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
13218 BROOK LANE DRIVE, HAGERSTOWN, MD 21742-1945
(301) 733-0331
(301) 733-4038
Mailing address
PO BOX 1945, HAGERSTOWN, MD 21742-1945
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
09/08/2008
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