Individual
DIANNA SEVERANCE-HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7623 TRED AVON CIR, EASTON, MD 21601-8163
(410) 924-5168
Mailing address
7623 TRED AVON CIR, EASTON, MD 21601-8163
(410) 924-5168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24791
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550002
—
MD
Enumeration date
11/23/2010
Last updated
03/29/2021
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