Individual
DEBORAH DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8415 BELLONA LN STE 203, TOWSON, MD 21204-2066
(410) 777-8151
Mailing address
8415 BELLONA LN STE 203, TOWSON, MD 21204-2066
(410) 777-8151
(410) 821-1816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413568700
—
MD
Enumeration date
09/11/2012
Last updated
05/07/2024
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