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Autumn Jacquette, LGSW

NPI 1548717903 · on the registry since 2016 · sole proprietor

Practice

Address
5878 Henry Ave
Rock Hall, MD 21661
Phone
(410) 310-8917

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
2021-06-25

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