Individual
CATHY WACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9750 EARLY SPRING WAY, COLUMBIA, MD 21046-2070
(301) 498-5321
Mailing address
9750 EARLY SPRING WAY, COLUMBIA, MD 21046-2070
(301) 498-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12256
MD
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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