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1659148575
RICKY M JACKSON
SILVER SPRING, MD
NPI
1659148575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 26029)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
RICKY M JACKSON LCSW-C
919 LANGLEY DR
SILVER SPRING, MD 20901-3735
Phone number: 301-535-6959
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Mailing Address
RICKY M JACKSON LCSW-C
919 LANGLEY DR
SILVER SPRING, MD 20901-3735
Phone number: 301-535-6959
Copy
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