Individual
GAYLENA ADDIE BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMSW
Contact information
Practice address
6508 DEER POINTE DR, SALISBURY, MD 21804-1668
(410) 742-6016
Mailing address
5696 ROYAL MILE BLVD, SALISBURY, MD 21801-2317
(410) 251-6024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G05522
MD
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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