Michelle Back, LCSW-C

NPI #1134333107 in Laplata, Maryland

Provider Information

NPI Number: 1134333107
Entity Type: Individual
Name: Michelle Back, LCSW-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: May 9, 2007
Last Updated: Oct 24, 2016

Practice Location

Address: 6100 RADIO STATION ROAD
City: Laplata
State: Maryland
ZIP Code: 20646
Phone: (301) 609-9887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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