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Organization

DIANE CHANNAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE CHANNAS MSW (OWNER)
(410) 975-0105
Entity
Organization

Contact information

Practice address
277 PENINSULA FARM RD, SUITE J, ARNOLD, MD 21012-1018
(410) 975-0105
Mailing address
277 PENINSULA FARM RD, SUITE J, ARNOLD, MD 21012-1018

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06233
MD

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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