Most Relevant Information
Provider Data
| NPI Number: | 1003454125 |
| Provider Name: | JACLYN BOOKMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 24929 |
Most Important Dates
| Enumeration Date: | 12/19/2019 |
| Last Updated: | 12/19/2019 |
Provider Practice Location
8607 CEDAR ST
SILVER SPRING
MD
209104324
Practice Location Phone/Fax
| Phone: | 2402005401 |
| Fax: |
Provider Mailing Location
503 SCHUYLER RD
SILVER SPRING
MD
209104239
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |