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Individual

MR. ABDUL JALLOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 N ROCK GLEN RD, APT K, BALTIMORE, MD 21229-3180
(202) 304-9956
Mailing address
205 N ROCK GLEN RD, APT K, BALTIMORE, MD 21229-3180
(202) 304-9956

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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