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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK VALLEJO, MSW, LCSWC

Active

JACK VALLEJO, MSW, LCSWC is a School Social Worker healthcare provider located in ELDERSBURG, Maryland. NPI 1346626181 is currently active in the NPPES registry. Verify at CMS.

School Social Worker · ELDERSBURG, MD

Registration Details

NPI Number
1346626181
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2015 (11.056052638875 yrs)
Last Updated
Aug 4, 2015
License
07259 (MD)

Practice Information

Address
1311 LONDONTOWN BLVD
SUITE # 130A
ELDERSBURG, MD, 217846454
Browse MD providers · Browse ZIP 21784
Phone
4103569200
Fax
4432000267
Primary Specialty
School Social Worker
1041S0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.