Individual
MR. DANA WILLCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
13-15 E DEER PARK DR, SUITE 100, GAITHERSBURG, MD 20877-2070
(301) 216-0930
(310) 216-0930
Mailing address
PO BOX 644, GAITHERSBURG, MD 20884-0644
(301) 216-0930
(301) 216-0930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02662
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02662
SOCIAL WORK LICENSE #
MD
Enumeration date
08/23/2006
Last updated
07/08/2007
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