Jefferson, Alicia
Jefferson, Alicia is an sole proprietor health care provider with primary practice located at 2670 Crain Hwy Ste 206 , Waldorf MD 20601-2816. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jefferson, Alicia can be contacted via phone (240) 535-4818.Contact Information
Primary practice address
2670 Crain Hwy Ste 206
Waldorf MD 20601-2816
Phone: (240) 535-4818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19562 | Maryland |
Profile Details
| NPI number | 1265983670 |
|---|---|
| LBN Legal business name | Jefferson, Alicia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2016 |
| Last updated | Oct 20th, 2016 - about 10 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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