Individual
MR. JASON MICHAEL ZICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
Mailing address
109 N LINWOOD AVE, BALTIMORE, MD 21224-1248
(443) 812-4045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18188
MD
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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