Individual
DENETRA GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW-C
Contact information
Practice address
8109 GARLAND AVE, APT 2, TAKOMA PARK, MD 20912-6851
(951) 264-0369
Mailing address
4800 EXPRESS DR., #19769 SMB#29685, CHARLOTTE, NC 28208
(910) 216-4655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19778
MD
1041C0700X
Clinical Social Worker
LC50079911
DC
Other
Enumeration date
10/25/2016
Last updated
12/12/2022
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