Individual
MS. DONNA LYNN CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
20320 SANDSFIELD TER, GERMANTOWN, MD 20876-4254
(240) 483-2714
Mailing address
20320 SANDSFIELD TER, GERMANTOWN, MD 20876-4254
(240) 483-2714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04628
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816700100
—
MD
Enumeration date
02/10/2011
Last updated
04/03/2012
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