Individual
DENISE MARIE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C; CAC-AD
Contact information
Practice address
5301 BUCKEYSTOWN PIKE, SUITE170, FREDERICK, MD 21704-8370
(301) 733-0330
(301) 733-4038
Mailing address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC0669
MD
1041C0700X
Clinical Social Worker
Primary
10915
MD
Other
Enumeration date
09/12/2008
Last updated
08/15/2013
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