Individual
DANETTE A COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
3506 ELMLEY AVE, BALTIMORE, MD 21213-1950
(410) 276-8421
Mailing address
3506 ELMLEY AVE, BALTIMORE, MD 21213-1950
(410) 276-8421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15477
MD
1041C0700X
Clinical Social Worker
Primary
15477
MD
1041S0200X
School Social Worker
15477
MD
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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