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1255461125
JODI LYNN DIVELY
GLEN BURNIE, MD
NPI
1255461125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 12032)
Enumeration Date
2007-03-07
Last Update Date
2023-01-05
Business Address
JODI LYNN DIVELY LCSW-C
214 2ND AVE SW
GLEN BURNIE, MD 21061-3465
Phone number: 443-710-2324
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Mailing Address
JODI LYNN DIVELY LCSW-C
214 2ND AVE SW
GLEN BURNIE, MD 21061-3465
Phone number:
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