Brendalan Jackson, LCSW

NPI #1487319208 in Waldorf, Maryland

Provider Information

NPI Number: 1487319208
Entity Type: Individual
Name: Brendalan Jackson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Nov 5, 2021
Last Updated: Jan 20, 2024

Practice Location

Address: 9790 FRANKFURT DR
City: Waldorf
State: Maryland
ZIP Code: 20603-5346
Phone: (202) 459-8733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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