Individual
LAURA MERRITT-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
33 HOLMEHURST AVE, CATONSVILLE, MD 21228-4631
(302) 897-8061
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-151875-B0X8J8
MD
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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