Individual
CHANDRA NICOLE HARRIS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8620 MAYAONE ST, LAUREL, MD 20724-1992
(410) 916-1348
Mailing address
8620 MAYAONE ST, LAUREL, MD 20724-1992
(410) 916-1348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19845
MD
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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