Individual
MAYA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 893-4600
Mailing address
1100 HALSTEAD RD, PARKVILLE, MD 21234-6607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26375
MD
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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