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Individual

LINDSAY RUTH JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C, LICSW

Contact information

Practice address
1200 1ST ST NE FL 9, WASHINGTON, DC 20002-7953
(202) 276-3911
Mailing address
6510 DUCKETTS LN, ELKRIDGE, MD 21075-6100
(732) 580-4413

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16965
MD
1041S0200X
School Social Worker
Primary
LC50082074
DC

Other

Enumeration date
03/08/2016
Last updated
08/19/2019
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