Individual
DANIELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2057 PULASKI HWY STE 4, NORTH EAST, MD 21901-3744
(410) 877-4044
Mailing address
2057 PULASKI HWY STE 4, NORTH EAST, MD 21901-3744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
20831
MD
1041C0700X
Clinical Social Worker
Primary
20831
MD
Other
Enumeration date
12/09/2016
Last updated
10/28/2020
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