JETTANNA BURRUSS- CLARK

WALDORF, MD
NPI1902590227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-06-08
Last Update Date2023-06-14
Business Address
JETTANNA BURRUSS- CLARK
22 MEADOW PL
WALDORF, MD 20601-2924
Phone number: 240-810-3952
Mailing Address
JETTANNA BURRUSS- CLARK
22 MEADOW PL
WALDORF, MD 20601-2924
Phone number: 240-810-3929