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Individual

JACOB ELIAS SINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
6707 WHITESTONE RD STE 106, GWYNN OAK, MD 21207-4140
(410) 265-8737
Mailing address
6707 WHITESTONE RD STE 106, GWYNN OAK, MD 21207-4140
(410) 265-8737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24139
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24139
MD
Enumeration date
04/25/2019
Last updated
04/25/2019
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