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Individual

DEADRA CARNACK ATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
122 LANGLEY RD N, SUITE A, GLEN BURNIE, MD 21060-6539
(410) 222-6785
Mailing address
6936 KNIGHTHOOD LN, COLUMBIA, MD 21045-4801
(410) 381-0559

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4752
MD

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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