Individual
HEATHER DERTZBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 E MAIN ST STE 300H, WESTMINSTER, MD 21157-2709
(443) 241-9228
Mailing address
66 E MAIN ST STE 300H, WESTMINSTER, MD 21157-2709
(443) 241-9228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G08521
MD
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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