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Jelisa Matthews, LMSW
NPI 1548905615 · on the registry since 2022
Practice
- Address
- 5919 York Rd
Baltimore, MD 21212 - Phone
- (443) 862-4316
- Organisation at this address
- Van Dyke And Bacon Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1900 N Howard St Ste 300, Baltimore, MD
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-25
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