Individual
MAGDALENE L. JACKSON-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5028 WISCONSIN AVE NW, SUITE 400, WASHINGTON, DC 20016-4118
(202) 537-6050
Mailing address
1110 FIDLER LN, #616, SILVER SPRING, MD 20910-3425
(301) 437-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078197
DC
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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