Individual
MARY ALICE JACKSON-KAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW, MSW
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(202) 232-6100
Mailing address
1643 6TH ST NW UNIT 5, WASHINGTON, DC 20001-2400
(202) 656-5153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200002590
DC
171M00000X
Case Manager/Care Coordinator
LG200002590
DC
Other
Enumeration date
09/29/2023
Last updated
10/06/2023
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