Individual
MS. DONA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 HANOVER PKWY, SUITE 203, GREENBELT, MD 20770-2010
(240) 461-8956
Mailing address
15037 CHERRYWOOD DR, LAUREL, MD 20707-5547
(240) 461-8956
(240) 461-8956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LC03012
DC
1041C0700X
Clinical Social Worker
Primary
08496
MD
1041C0700X
Clinical Social Worker
LC03012
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145120960
—
MD
Enumeration date
07/29/2008
Last updated
06/02/2021
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