Individual
ALICIA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 CRAIN HWY STE 206, WALDORF, MD 20601-2816
(240) 535-4818
Mailing address
915 EASTHAM CT APT T3, CROFTON, CROFTON, MD 21114-1043
(240) 535-4818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19562
MD
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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