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

AUTUMN RENEE JACQUETTE, LGSW

Active Sole Proprietor

AUTUMN RENEE JACQUETTE, LGSW is a Social Worker healthcare provider located in ROCK HALL, Maryland. NPI 1548717903 is currently active in the NPPES registry. Verify at CMS.

Social Worker · ROCK HALL, MD

Registration Details

NPI Number
1548717903
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2016 (9.9518207993719 yrs)
Last Updated
Jun 25, 2021
License
21142 (MD)
Sole Proprietor
Yes

Practice Information

Address
5878 HENRY AVE
ROCK HALL, MD, 216611342
Browse MD providers · Browse ZIP 21661
Phone
4103108917
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in ROCK HALL, MD

Name Credential NPI
ANNA MARIE HALL LMSW 1073334868
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.