Individual
DIONNE MICHELLE BROWN-BUSHROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW C MSW
Contact information
Practice address
3713 TALL GRASS CT, RANDALLSTOWN, MD 21133-2824
(410) 484-6070
(410) 992-8522
Mailing address
9902 REISTERSTOWN RD, # 360, OWINGS MILLS, MD 21117-3945
(410) 484-6070
(410) 484-3166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348600100
—
MD
Enumeration date
11/02/2005
Last updated
05/03/2021
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