Individual
SARAH JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5026 DORSEY HALL DR STE 205, ELLICOTT CITY, MD 21042-7854
(410) 402-5615
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
08/05/2026
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