Kim N Jackson
Social Worker in Baltimore, MD. Individual provider (NPI-1).
NPI number1861987331
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1861987331
- Entity type
- Individual (NPI-1)
- Name
- Kim N Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | G10538 | MD | Yes |
Practice location
1900 N Howard St Ste 300Baltimore, MD 21218-5909
Phone 443-438-6742
Mailing address
1900 N Howard St Ste 300Baltimore, MD 21218-5909
Phone 443-438-6742
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