Individual
MR. JUSTIN MICHAEL DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
626 REVOLUTION STREET, HAVRE DE GRACE, MD 21078
(410) 939-8744
Mailing address
626 REVOLUTION STREET, HAVRE DE GRACE, MD 21078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17944
MD
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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