Individual
WANDA SAMUELS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1826 WOODLAWN DR STE 3, GWYNN OAK, MD 21207-4050
(410) 800-2121
(443) 478-4716
Mailing address
8626 HAYSHED LN, COLUMBIA, MD 21045-2604
(410) 800-2121
(443) 478-4716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21262
MD
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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