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Individual

RANDA DEACON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
8003 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-4612
(443) 452-9552
Mailing address
2833 WHITE HOUSE RD, RIVA, MD 21140-1334
(443) 370-3290
(410) 706-0140

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/11/2018
Last updated
05/11/2018
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