Individual
LETASHA HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
302 HAYWARD AVE, FRUITLAND, MD 21826-1727
(443) 366-1063
Mailing address
302 HAYWARD AVE, FRUITLAND, MD 21826-1727
(443) 365-3143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27807
MD
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2019
Last updated
09/18/2023
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