Individual
MS. BETTY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(443) 350-3048
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
(443) 350-3048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14599
MD
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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