Individual
MS. JANICE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
6475 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3269
(301) 270-3200
Mailing address
8418 BRANCHWOOD CIR, CLINTON, MD 20735-2155
(301) 856-8251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12541
MD
1041C0700X
Clinical Social Worker
LC50082372
DC
Other
Enumeration date
03/06/2008
Last updated
03/13/2025
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