Individual
MS. HALEY ELIZABETH MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1301 PICCARD DR FL 1, ROCKVILLE, MD 20850-4320
(240) 777-3000
Mailing address
1301 PICCARD DR FL 1, ROCKVILLE, MD 20850-4320
(240) 777-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23170
MD
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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