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Individual

LASHAWNDA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7477 BALTIMORE ANNAPOLIS BLVD STE 201, GLEN BURNIE, MD 21061-3567
(410) 412-7791
Mailing address
7477 BALTIMORE ANNAPOLIS BLVD STE 201, GLEN BURNIE, MD 21061-3567
(410) 412-7791

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26001
MD

Other

Enumeration date
03/25/2024
Last updated
05/07/2024
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