Crawford, Jackie Dutchess
Crawford, Jackie Dutchess is an individual health care provider with primary practice located at 11100 Billingsley Rd , Waldorf MD 20602-3400. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Crawford, Jackie Dutchess can be contacted via phone (240) 754-6118.Contact Information
Primary practice address
11100 Billingsley Rd
Waldorf MD 20602-3400
Phone: (240) 754-6118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1588343388 |
|---|---|
| LBN Legal business name | Crawford, Jackie Dutchess |
| Credentials | MHSA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2023 |
| Last updated | Jul 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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