Individual
MR. STEVEN MICHAEL JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
9093 RIDGEFIELD DR STE 206, FREDERICK, MD 21701-6712
(240) 382-0169
Mailing address
11217 MAPLEVILLE RD APT B, SMITHSBURG, MD 21783-1801
(240) 382-0169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27548
MD
Other
Enumeration date
04/01/2024
Last updated
04/19/2024
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