Individual
DYANNE DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5923 WESTERN RUN DR APT C, BALTIMORE, MD 21209-4044
(856) 304-7870
Mailing address
5923 WESTERN RUN DR APT C, BALTIMORE, MD 21209-4044
(856) 304-7870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50082947
DC
1041C0700X
Clinical Social Worker
23209
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
05/22/2018
Last updated
10/18/2024
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