Individual
GABRIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW, LCSW-C
Contact information
Practice address
6710 OXON HILL RD STE 210, OXON HILL, MD 20745-1124
(202) 929-4286
(202) 929-6309
Mailing address
6710 OXON HILL RD STE 210, OXON HILL, MD 20745-1124
(202) 929-4286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009476
VA
1041C0700X
Clinical Social Worker
Primary
17526
MD
1041C0700X
Clinical Social Worker
LC50080738
DC
Other
Enumeration date
02/19/2019
Last updated
05/20/2024
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