Individual
DEVITA DENESE BREVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1800 N CHARLES ST, STE 204, BALTIMORE, MD 21201-5920
(443) 386-7537
Mailing address
1800 N CHARLES ST, STE 204, BALTIMORE, MD 21201-5920
(443) 386-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20322
MD
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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