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Individual

BRIA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
301 MAGNOLIA DR, ELKTON, MD 21921-6823
(202) 878-0783
Mailing address
254 CHAPMAN RD, STE 208, #18555, NEWARK, DE 19702-5422
(202) 878-0783

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
28738
MD
1041C0700X
Clinical Social Worker
Primary
28738
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47-5577533
NON MEDICARE
MD
05
47-5577533
MD
Enumeration date
09/13/2022
Last updated
11/30/2024
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