Individual
JAYYIDAH CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 327, COLUMBIA, MD 21044-3273
(443) 864-5647
(443) 276-0905
Mailing address
10632 LITTLE PATUXENT PKWY, SUITE 327, COLUMBIA, MD 21044-3273
(443) 864-5647
(443) 276-0905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19764
MD
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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