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1871091124
JENNIFER SUSSAL
COLUMBIA, MD
NPI
1871091124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 23272)
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
JENNIFER SUSSAL LGSW
10705 CHARTER DR STE 410
COLUMBIA, MD 21044-2800
Phone number: 443-653-1363
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Mailing Address
JENNIFER SUSSAL LGSW
2705 SILVER HAMMER WAY
BROOKEVILLE, MD 20833-3244
Phone number: 631-512-2610
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