Individual
JANAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1300 MERCANTILE LN STE 208, UPPER MARLBORO, MD 20774-5340
(301) 583-0001
Mailing address
8705 DULWICK CT, APT. 31, LAUREL, MD 20708
(240) 552-6926
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26560
MD
Other
Enumeration date
09/02/2021
Last updated
09/03/2024
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