Individual
DEANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
120 SISTER PIERRE DR STE 506, BALTIMORE, MD 21204-7527
(410) 670-4769
(410) 847-2545
Mailing address
320 E TOWSONTOWN BLVD, SUITE 2W, TOWSON, MD 21286-5318
(410) 296-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15222
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
MD
Enumeration date
01/26/2017
Last updated
08/18/2022
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