JACOB J WOOTTEN

ELLICOTT CITY, MD
NPI1194001032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: MD  CER-195162-M4P1Q7)
Enumeration Date2011-10-24
Last Update Date2025-09-22
Business Address
JACOB J WOOTTEN BA
10910 CLARKSVILLE PIKE
ELLICOTT CITY, MD 21042-6106
Phone number: 443-783-1773
Mailing Address
JACOB J WOOTTEN BA
10910 CLARKSVILLE PIKE
ELLICOTT CITY, MD 21042-6106
Phone number: 443-783-1773