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1477949659
CHANDRA NICOLE HARRIS-JACKSON
LAUREL, MD
NPI
1477949659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 19845)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
-- CHANDRA NICOLE HARRIS-JACKSON LCSW-C
8620 MAYAONE ST
LAUREL, MD 20724-1992
Phone number: 410-916-1348
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Mailing Address
-- CHANDRA NICOLE HARRIS-JACKSON LCSW-C
8620 MAYAONE ST
LAUREL, MD 20724-1992
Phone number: 410-916-1348
Copy
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