Autumn Renee Jacquette, LGSW

NPI #1548717903 in Rock Hall, Maryland

Provider Information

NPI Number
1548717903
Entity Type
Individual
Name
Autumn Renee Jacquette, LGSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LGSW
Enumeration Date
Sep 2, 2016
Last Updated
Jun 25, 2021

Practice Location

Address
5878 HENRY AVE
ZIP Code
21661-1342
Phone
(410) 310-8917

Specialties & Taxonomy Codes

Specialty
Social Worker

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