Individual
DEIDRE ODETTE MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(410) 558-0032
Mailing address
7402 MAURY RD, WINDSOR MILL, MD 21244-4009
(443) 253-2236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28224
MD
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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