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Individual

DAVID O'BRIEN DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
BLDG 364 AVE D, PERRY POINT, MD 21902
(917) 627-1067
Mailing address
404 CHARTER HALL RD, PERRYVILLE, MD 21903-1800
(917) 627-1067

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28638
MD

Other

Enumeration date
06/17/2022
Last updated
06/17/2022
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