Individual
LISA M JIBRIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10220 S DOLFIELD RD STE 204, OWINGS MILLS, MD 21117-3624
(410) 781-1676
Mailing address
235 TEAPOT CT, REISTERSTOWN, MD 21136-1947
(410) 781-1676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08058
MD
Other
Enumeration date
11/29/2022
Last updated
12/01/2022
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