Individual
MS. DAWN RAE BOTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
12039 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3042
(410) 527-5000
(410) 833-4102
Mailing address
3706 WHITE PINE RD APT E, BALTIMORE, MD 21220-3232
(574) 533-2634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12648
DHMH
MD
Enumeration date
11/28/2018
Last updated
11/28/2018
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