Individual
MS. DANETTA ELIZABETH HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LGSW
Contact information
Practice address
901 1ST ST NW, C/O VMT, WASHINGTON, DC 20001-1403
(904) 432-5735
Mailing address
5364 SMOOTH MEADOW WAY, UNIT 12, COLUMBIA, MD 21044-1765
(443) 257-3590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
G12808
MD
1041C0700X
Clinical Social Worker
Primary
LG50078650
DC
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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