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Search › Maryland › Social Worker

Shadiase Jack

NPI 1609299353 · on the registry since 2014 · sole proprietor

Practice

Address
41900 Fenwick St
Leonardtown, MD 20650
Phone
(301) 475-8860
Organisation at this address
Center For Children Inc.
Center For Children, Inc
Center For Children, Inc
Center For Children, Inc
Center For Children, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
Social Worker
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-31

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