Justin Michael Decker LGSW

NPI 1083975445 - Social Worker - 104100000X

NPI Details
NPI 1083975445
Gender Male
Enumeration Date 06/01/2012
Last Updated 06/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
626 REVOLUTION STREET
HAVRE DE GRACE MD, 21078, US
Phone (410) 939-8744
Fax
Business Location
626 REVOLUTION STREET
HAVRE DE GRACE MD, 21078, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Maryland
License Number 17944
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According to our database, Mr. Justin Michael Decker LGSW NPI is 1083975445, taxonomy code is 104100000X and license number is 17944, license state is located at Maryland. Justin Michael Decker LGSW physically located at 626 Revolution Street, Havre De Grace MD, 21078. NPI Number Justin Michael Decker LGSW has the Individual type.

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1083975445 NPI number is provided on an as is basis without warranty of any kind. 1083975445 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Michael Decker LGSW are for informational purposes only.