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Individual

MS. JOHANNA S WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
336 S MAIN ST STE 2CA, BEL AIR, MD 21014-3978
(410) 688-1058
Mailing address
336 S MAIN ST STE 2CA, BEL AIR, MD 21014-3978
(410) 688-1058

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13095
MD

Other

Enumeration date
01/23/2007
Last updated
08/01/2019
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