Individual
JESSICA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7119 GOUGH ST, BALTIMORE, MD 21224-1808
(443) 787-5391
Mailing address
7119 GOUGH ST, BALTIMORE, MD 21224-1808
(443) 787-5391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26632
MD
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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