Individual
MARYAM SAKEENAH FAKHRUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5044 DORSEY HALL DR STE 204, ELLICOTT CITY, MD 21042-7500
(410) 884-9200
Mailing address
1364 BEVERLY RD STE 303, MC LEAN, VA 22101-3644
(615) 613-7472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MD
104100000X
Social Worker
—
VA
Other
Enumeration date
02/28/2024
Last updated
12/09/2025
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