Janice Blackburn Mentzer
Social Worker, Clinical in Hagerstown, MD. Individual provider (NPI-1).
NPI number1629656830
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1629656830
- Entity type
- Individual (NPI-1)
- Name
- Janice Blackburn Mentzer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2021
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 08898 | MD | Yes |
Practice location
11116 Medical Campus Rd Ste 2989Hagerstown, MD 21742-6710
Phone 301-766-7600 · Fax 301-766-7702
Mailing address
11116 Medical Campus Rd Ste 2989Hagerstown, MD 21742-6710
Phone 301-766-7600 · Fax 301-766-7702
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