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Individual

JESSICA COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 OLD SOLOMONS ISLAND RD STE A, ANNAPOLIS, MD 21401-0920
(443) 214-5097
Mailing address
108 OLD SOLOMONS ISLAND RD STE A, ANNAPOLIS, MD 21401-0920
(443) 214-5097

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2069
MD

Other

Enumeration date
03/14/2022
Last updated
03/14/2022
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