TRACI JACKSON

BALTIMORE, MD
NPI1457167827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist School
(Licence: MD  30-4840)
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
TRACI JACKSON M.S.
6300 ODONNELL ST
BALTIMORE, MD 21224-4642
Phone number: 443-844-4147
Mailing Address
TRACI JACKSON M.S.
6300 ODONNELL ST
BALTIMORE, MD 21224-4642
Phone number: 443-844-4147