Individual
ASHLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 620-7161
(410) 620-7168
Mailing address
PO BOX 539, PERRYVILLE, MD 21903-5039
(443) 466-8727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28170
MD
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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