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Samyia Jackson
NPI 1215570551 · on the registry since 2019
Practice
- Address
- 1833 Pulaski Hwy
Edgewood, MD 21040 - Phone
- (443) 484-2306
- Organisation at this address
- Empowering Mind Resource Center
Empowering Mind Resource Center
Empowering Minds Resource Center
Empowering Minds Resource Center
Empowering Minds Resource CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland