Individual
MR. COURTNEY DARNELL FULLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10705 CHARTER DR STE 430, COLUMBIA, MD 21044-2870
(301) 259-3574
Mailing address
10106 MADRONAWOOD DR, LAUREL, MD 20708-3164
(240) 855-5032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33382
MD
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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