Wanda Elizabeth Jackson
NPI #1497069900 in Forest Hill, Maryland
Provider Information
- NPI Number
- 1497069900
- Entity Type
- Individual
- Name
- Wanda Elizabeth Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 27, 2010
- Last Updated
- Jul 27, 2010
Practice Location
- Address
- 2018 ROCK SPRING RD
- Address 2
- A6
- City
- Forest Hill
- State
- Maryland
- ZIP Code
- 21050-2631
- Phone
- (410) 838-2493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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