Individual
ZOE JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1010 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(410) 567-1117
Mailing address
3643 ROLAND AVE, BALTIMORE, MD 21211-2408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26019
MD
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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