Individual
LARISSA DICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6595 SWEET FERN, COLUMBIA, MD 21045-4550
(978) 760-0088
Mailing address
6595 SWEET FERN, COLUMBIA, MD 21045-4550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23428
MD
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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