Individual
JOSEPH C TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
120 BANJO LANE, CENTREVILLE, MD 21617
(410) 758-2211
(410) 758-0698
Mailing address
120 BANJO LANE, CENTREVILLE, MD 21617
(410) 758-2211
(410) 758-0698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17325
MD
1041C0700X
Clinical Social Worker
G12151
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774800100
—
MD
Enumeration date
06/08/2006
Last updated
11/15/2017
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