Davidra Bazemore-Blue, MSW, LCSW-C

NPI #1124465802 in Waldorf, Maryland

Provider Information

NPI Number: 1124465802
Entity Type: Individual
Name: Davidra Bazemore-Blue, MSW, LCSW-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LCSW-C
Enumeration Date: Jun 4, 2013
Last Updated: Jan 29, 2020

Practice Location

Address: 3200 CRAIN HWY
Address 2: SUITE 203
City: Waldorf
State: Maryland
ZIP Code: 20603-4841
Phone: (240) 435-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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