Individual
CLAYISHA S HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12774 WISTERIA DR UNIT 163, GERMANTOWN, MD 20875-7507
(240) 813-8161
Mailing address
62 SOLAR CIR, PARKVILLE, MD 21234-6819
(410) 260-0446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28921
MD
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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