Samyia Jackson

NPI #1215570551 in Edgewood, Maryland

Provider Information

NPI Number: 1215570551
Entity Type: Individual
Name: Samyia Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 18, 2019
Last Updated: Oct 18, 2019

Practice Location

Address: 1833 PULASKI HWY
City: Edgewood
State: Maryland
ZIP Code: 21040-1641
Phone: (443) 484-2306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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