Individual
ANNETTE O HACKEY-RUNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
15904 MANAHAN RD, SABILLASVILLE, MD 21780-8403
(240) 688-7008
Mailing address
15904 MANAHAN RD, SABILLASVILLE, MD 21780-8403
(240) 688-7008
(301) 668-1910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17084
MD
1041C0700X
Clinical Social Worker
17084
MD
Other
Enumeration date
08/03/2012
Last updated
09/16/2024
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