Organization
JOANNA DURHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA RUTH DURHAM LCSWC (OWNER)
(410) 456-7022
Entity
Organization
Contact information
Practice address
3355 ST JOHNS LANE, SUITE F, ELLICOTT CITY, MD 21043
(410) 456-7022
(410) 465-4822
Mailing address
PO BOX 755, ELLICOTT CITY, MD 21041
(410) 456-7022
(410) 465-4822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09934
MD
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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