Individual
MRS. CHRISTINA JOHNSON PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6040 PUBLIC LANDING RD., SNOW HILL, MD 21863-2453
(410) 632-1100
(410) 632-5682
Mailing address
6040 PUBLIC LANDING ROAD, SNOW HILL, MD 21863-2453
(410) 632-1100
(410) 632-5682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16323
MD
1041C0700X
Clinical Social Worker
G11793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
01/31/2007
Last updated
05/17/2012
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