Individual
JAMILAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(732) 491-3867
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21943
MD
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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