Individual provider · Type 1 NPI
Jack Vallejo, MSW, LCSWC
School Social Worker · Eldersburg, MD
NPI number
1346626181
Active
Practice location
1311 Londontown Blvd, Suite # 130A
Eldersburg, MD 21784-6454
Fax (443) 200-0267
Mailing address
PO Box 1229
Sykesville, MD 21784-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 07259 (MD) |
School Social Worker: Definition to come...
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About NPI 1346626181
Jack Vallejo, MSW, LCSWC's National Provider Identifier is 1346626181, issued on Aug 4, 2015. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Eldersburg, MD. The record was last updated on Aug 4, 2015.