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Individual

MRS. JACQUELYN ELAINE ZIMMERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 685-2550
Mailing address
27429 WOODLAND RD, SEAFORD, DE 19973
(302) 536-1566

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0906
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405755400
MD
Enumeration date
03/05/2007
Last updated
07/29/2009
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