CORA BETHANE JACKSON SIEVEKA

LEXINGTON PARK, MD
NPI1386617207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  G11552)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
-- CORA BETHANE JACKSON SIEVEKA LGSW
21770 FDR BOULEVARD
LEXINGTON PARK, MD 20653
Phone number: 301-862-4966
Mailing Address
-- CORA BETHANE JACKSON SIEVEKA LGSW
PO BOX 826 TRICO CORPORATION
LEXINGTON PARK, MD 20653-0826
Phone number: 301-862-4966
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