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1629851969
MADISON DORE JACKSON
BALTIMORE, MD
NPI
1629851969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MD 30576)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
MADISON DORE JACKSON LMSW
5820 YORK RD STE 201
BALTIMORE, MD 21212-3620
Phone number: 410-800-2169
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Mailing Address
MADISON DORE JACKSON LMSW
1 W HENRIETTA ST APT D
BALTIMORE, MD 21230-3656
Phone number: 443-421-7841
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