Shana Rene Mizzer LCSW-C

NPI 1437320413 - Social Worker - 1041C0700X

NPI Details
NPI 1437320413
Gender Female
Enumeration Date 03/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
8915 SHADY GROVE COURT
DERWOOD MD, 20855, US
Phone (240) 643-1833
Fax
Business Location
20533 AMETHYST LN
GERMANTOWN MD, 20874-1094, US
Phone (240) 643-1833
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 13369
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According to our database, Shana Rene Mizzer LCSW-C NPI is 1437320413, taxonomy code is 1041C0700X and license number is 13369, license state is located at Maryland. Shana Rene Mizzer LCSW-C physically located at 8915 Shady Grove Court, Derwood MD, 20855. NPI Number Shana Rene Mizzer LCSW-C has the Individual type.

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1437320413 NPI number is provided on an as is basis without warranty of any kind. 1437320413 is maintained by the National Plan & Provider Enumeration System. The contents of Shana Rene Mizzer LCSW-C are for informational purposes only.