Individual
DEBORAH ENYIDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
604 S FREDERICK AVE STE 211, GAITHERSBURG, MD 20877-1282
(410) 823-6408
(443) 279-0537
Mailing address
120 SISTER PIERRE DR STE 403, TOWSON, MD 21204-7536
(410) 823-6408
(443) 279-0537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19820
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MD
Enumeration date
12/21/2016
Last updated
12/09/2025
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