Individual
AMANDA C HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
1220 GEMINI DR APT Q, ANNAPOLIS, MD 21403-1279
(443) 822-6531
Mailing address
1220 GEMINI DR APT Q, ANNAPOLIS, MD 21403-1279
(443) 822-6531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18301
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18301
STATE LICENSE
MD
Enumeration date
04/09/2021
Last updated
04/09/2021
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