Individual
JOSHUA KALEAN SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1628 FERNWOOD DR, UPPER MARLBORO, MD 20774-2460
(334) 796-5469
Mailing address
1628 FERNWOOD DR, UPPER MARLBORO, MD 20774-2460
(334) 796-5469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082660
DC
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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