Individual
CHARITY A DZIEKETEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9500 ANNAPOLIS RD, LANHAM, MD 20706-2060
(301) 364-8827
Mailing address
9701 PHILADELPHIA CT STE R, LANHAM, MD 20706-4435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17522
MD
1041C0700X
Clinical Social Worker
Primary
17522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
05
—
383876389
—
MD
Enumeration date
01/12/2018
Last updated
09/16/2024
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