Individual
ERICA JENEEN DIZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7519 STONES THROW CT, WINDSOR MILL, MD 21244-1232
(410) 401-9799
(443) 548-2890
Mailing address
7509 SHELOWOOD RD, PIKESVILLE, MD 21208-5724
(410) 961-6090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23626
MD
Other
Enumeration date
04/05/2018
Last updated
09/19/2018
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