Individual
MS. JESSICA LYNN CABNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9805 WOODYARD CIR, UPPER MARLBORO, MD 20772-4366
(727) 215-5305
Mailing address
9805 WOODYARD CIR, UPPER MARLBORO, MD 20772-4366
(727) 215-5305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09124
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C152403584689
DRIVER'S LICENSE
MD
Enumeration date
08/17/2021
Last updated
08/17/2021
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