Individual
MS. KA'NYHA DAISHON RAIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9958 N MAIN ST, BERLIN, MD 21811-1076
(410) 973-2820
(410) 973-2843
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
08/27/2024
Last updated
09/11/2024
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