Individual
JAY W. EUBANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
4 PROFESSIONAL DR, #120, GAITHERSBURG, MD 20879-3407
(301) 330-5669
(301) 330-5639
Mailing address
20300 CIDER BARREL DR, GERMANTOWN, MD 20876-2760
(301) 330-5669
(301) 330-5639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10007
MD
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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