Detter, Jennifer

Detter, Jennifer is an individual health care provider with primary practice located at 71 Flint Dr , North East MD 21901-3746. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Detter, Jennifer can be contacted via phone (443) 945-8754.

Contact Information

Primary practice address
71 Flint Dr North East MD 21901-3746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 24536 Maryland

Profile Details

NPI number 1922466150
LBN Legal business name Detter, Jennifer
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2016
Last updated Feb 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922466150 NPPES
Maryland Other 24536 MARYLAND BOARD OF SOCIAL WORK EXAMINERS

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