Individual
DIANE MARIE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(602) 361-2360
Mailing address
4518 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8154
(602) 361-2360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23701
MD
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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