Individual
MRS. DEANNA M DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 777-8710
Mailing address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 777-8710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10311
MD
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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