Individual
JACOB NORMAN WINDSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11827 OCEAN GTWY, OCEAN CITY, MD 21842-9529
(410) 213-0202
Mailing address
6040 PUBLIC LANDING RD, SNOW HILL, MD 21863-2453
(410) 632-1100
(410) 632-5682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1184
MD
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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