Individual
DANAE A WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
21 WEST RD, SUITE 111, TOWSON, MD 21204-2325
(410) 494-9440
Mailing address
21 WEST RD, SUITE 111, TOWSON, MD 21204-2325
(410) 494-9440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
704410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138050800
—
MD
05
—
700005700
—
MD
Enumeration date
06/08/2006
Last updated
12/07/2016
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