Individual
JAMAL HENRY-NATHANIEL HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
405 ALLEGHENY AVE, TOWSON, MD 21204-4256
(877) 893-5480
Mailing address
1720 SAINT PAUL ST APT 102, BALTIMORE, MD 21202-2852
(202) 455-8092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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