Individual
SHAMIRAH NATARSHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
367 MARYDELL RD, BALTIMORE, MD 21229-4108
(443) 636-1836
Mailing address
367 MARYDELL RD, BALTIMORE, MD 21229-4108
(443) 636-1836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22994
MD
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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