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1255840609
JESSICA TAWANDA FAUNTLEROY
BALTIMORE, MD
NPI
1255840609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 15292)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
Ms. JESSICA TAWANDA FAUNTLEROY LCSW-C
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-383-8300
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Mailing Address
Ms. JESSICA TAWANDA FAUNTLEROY LCSW-C
4017 CRANSTON AVE
BALTIMORE, MD 21229-1908
Phone number: 443-282-8146
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