SHADIASE JACK

LEONARDTOWN, MD
NPI1609299353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MD  19632)
Enumeration Date2014-01-31
Last Update Date2014-01-31
Business Address
-- SHADIASE JACK
41900 FENWICK ST
LEONARDTOWN, MD 20650-3814
Phone number: 301-475-8860
Mailing Address
-- SHADIASE JACK
41900 FENWICK ST
LEONARDTOWN, MD 20650-3814
Phone number: 301-475-8860
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