Individual
MIRANDA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5022 CAMPBELL BLVD STE L-M, BALTIMORE, MD 21236-4969
(443) 442-1588
Mailing address
5022 CAMPBELL BLVD STE L-M, BALTIMORE, MD 21236-4969
(443) 442-1588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MD
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/20/2023
Last updated
06/29/2023
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