Individual
JACQUELINE CASUMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, LICSW, LCSW
Contact information
Practice address
9841 WASHINGTONIAN BLVD STE 200-1048, GAITHERSBURG, MD 20878-5389
(571) 308-6228
Mailing address
9841 WASHINGTONIAN BLVD STE 200-1048, GAITHERSBURG, MD 20878-5389
(571) 308-6228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904013434
VA
1041C0700X
Clinical Social Worker
Primary
29431
MD
1041C0700X
Clinical Social Worker
LC50082530
DC
Other
Enumeration date
12/05/2022
Last updated
05/03/2025
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