Individual
DESYREE ALLISON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1534 BOLTON ST STE 1, BALTIMORE, MD 21217-4203
(703) 587-6738
Mailing address
1534 BOLTON ST STE 1, BALTIMORE, MD 21217-4203
(703) 587-6738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18764
MD
Other
Enumeration date
05/01/2019
Last updated
06/11/2019
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