Individual
DANILLA ETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 MANTON WAY, LANHAM, MD 20706-2489
(513) 302-1671
Mailing address
6612 MANTON WAY, LANHAM, MD 20706-2489
(513) 302-1671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/10/2023
Last updated
08/10/2023
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