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Individual

DR. ROLLO WARREN JONES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10707 GRANGERFORD CT, NEW MARKET, MD 21774-6244
(240) 439-0627
Mailing address
10707 GRANGERFORD CT, NEW MARKET, MD 21774-6244
(240) 439-0627

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
716654
MD
103TS0200X
School Psychologist
716654
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1242
MD
Enumeration date
07/10/2019
Last updated
07/10/2019
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