Individual
MRS. CATHERINE DESHETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5 N MAPLE AVE STE 102, LA PLATA, MD 20646-3744
(240) 435-1848
Mailing address
34 SHINING WILLOW WAY # 244, LA PLATA, MD 20646-4224
(240) 435-1848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21389
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102831600
—
MD
Enumeration date
12/07/2015
Last updated
02/07/2021
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