Individual
JAMIE ARCHIBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
711 W 40TH ST, BALTIMORE, MD 21211-2120
(410) 517-7531
Mailing address
4802 HAMILTON AVE APT 1D, BALTIMORE, MD 21206-3828
(443) 615-3548
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A0765
MD
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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