Individual
DEVRON D DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
23 MONTAUK CT, PARKVILLE, MD 21234-1351
(443) 416-4165
Mailing address
23 MONTAUK CT, PARKVILLE, MD 21234-1351
(443) 416-4165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22313
MD
Other
Enumeration date
11/07/2016
Last updated
05/08/2023
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