Individual
DOMINIQUE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2768 SAND LENS DRIVE, ODENTON, MD 21113
(301) 906-0140
Mailing address
2768 SAND LENS DRIVE, ODENTON, MD 21113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23791
MD
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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