Individual
DR. JESSICA DETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PORTER ST APT 507, BALTIMORE, MD 21230-5535
(515) 473-0856
Mailing address
7120 SAMUEL MORSE DR STE 150, COLUMBIA, MD 21046-3420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37610
MI
Other
Enumeration date
07/26/2022
Last updated
06/26/2025
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