LATRICE S JACKSON

WINDSOR MILL, MD
NPI1457239352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LGP14668)
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
LATRICE S JACKSON
8009 PARKS LN
WINDSOR MILL, MD 21244-2151
Phone number: 443-583-9562
Mailing Address
LATRICE S JACKSON
637 WYNDSTAR CIR
WESTMINSTER, MD 21158-4439
Phone number: 443-583-9562