Shadiase Jack
Shadiase Jack is a Social Worker in Leonardtown, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2014
Practice location Address checks out
41900 Fenwick StLeonardtown, MD 20650-3814
Phone: (301) 475-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 19632 (MD) |
|---|
Record details
| NPI number | 1609299353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2014 |
| Last updated in NPPES | January 31, 2014 |
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