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1437357001
PATTIE D. JACKSON
BALTIMORE, MD
NPI
1437357001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 13133)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Ms. PATTIE D. JACKSON LCSW-C
4705 HARFORD RD SUITE B
BALTIMORE, MD 21214-3205
Phone number: 410-444-0779
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Mailing Address
Ms. PATTIE D. JACKSON LCSW-C
PO BOX 3042
SALISBURY, MD 21802-3042
Phone number: 443-694-5757
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