Individual
NYANA MILDRED HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
501 TOUCHDOWN DR, LANDOVER, MD 20785-4722
(301) 499-1018
(301) 499-1018
Mailing address
501 TOUCHDOWN DR, LANDOVER, MD 20785-4722
(301) 499-1018
(301) 499-1018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50077783
DC
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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