| Jean L. Wyman, Lcsw-c, Inc. | |
|
6525 N Charles St Gibson Building Office 132 Towson MD 21204-6872 | |
| (410) 433-1583 | |
| Not Available |
| Full Name | Jean L. Wyman, Lcsw-c, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6525 N Charles St, Towson, Maryland |
| Authorized Official Name and Position | Jean L. Wyman (PRESIDENT) |
| Authorized Official Contact | 4104331583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean L. Wyman, Lcsw-c, Inc. 6525 N Charles St Gibson Building Office 132 Towson MD 21204-6872 Ph: (410) 433-1583 | Jean L. Wyman, Lcsw-c, Inc. 6525 N Charles St Gibson Building Office 132 Towson MD 21204-6872 Ph: (410) 433-1583 |
| NPI Number | 1174726871 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174726871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13145 (Maryland) | Primary |
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