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Individual

SARAH JACQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
5525 TWIN KNOLLS RD STE 331, COLUMBIA, MD 21045-3207
(410) 575-4147
Mailing address
2012 DRUID HILL AVE, BALTIMORE, MD 21217-3518
(240) 520-2913

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29018
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29018
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
08/11/2022
Last updated
09/06/2025
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