Individual
DANIELLE FLORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 RADIO STATION ROAD, LA PLATA, MD 20646
(301) 609-9887
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561800
—
MD
Enumeration date
09/27/2013
Last updated
09/30/2013
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