Individual
MARLIYATU JALLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 LADY DOVA WAY, SPRINGDALE, MD 20774
(240) 593-8965
Mailing address
3702 LADY DOVA WAY, SPRINGDALE, MD 20774
(240) 593-8965
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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