Individual
QUILLA OTTO-JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15480 ANNAPOLIS RD, BOWIE, MD 20715-1852
(855) 218-8200
Mailing address
15480 ANNAPOLIS RD, BOWIE, MD 20715-1852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24670
MD
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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