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1457239352
LATRICE S JACKSON
WINDSOR MILL, MD
NPI
1457239352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP14668)
Enumeration Date
2025-08-27
Last Update Date
2025-08-27
Business Address
LATRICE S JACKSON
8009 PARKS LN
WINDSOR MILL, MD 21244-2151
Phone number: 443-583-9562
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Mailing Address
LATRICE S JACKSON
637 WYNDSTAR CIR
WESTMINSTER, MD 21158-4439
Phone number: 443-583-9562
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