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Individual

MR. JASON ARTURO WOODFORD SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
4000 OLD COURT RD STE 206, PIKESVILLE, MD 21208-6415
(443) 651-4019
Mailing address
3922 BONNER RD, BALTIMORE, MD 21216-1203
(443) 801-4062

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23956
MD

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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