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Individual

JACQUELINE LUBOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
5301 76TH AVE, LANDOVER HILLS, MD 20784-1703
(301) 459-2121
Mailing address
5220 LIGHT ST, SPRINGFIELD, VA 22151-2521
(443) 848-7230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009453
VA
1041C0700X
Clinical Social Worker
Primary
14666
MD

Other

Enumeration date
11/15/2012
Last updated
07/18/2016
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