Erica Jeneen Dizard

NPI #1225534456 in Windsor Mill, Maryland

Provider Information

NPI Number: 1225534456
Entity Type: Individual
Name: Erica Jeneen Dizard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 5, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 7519 STONES THROW CT
City: Windsor Mill
State: Maryland
ZIP Code: 21244-1232
Phone: (410) 401-9799

Specialties & Taxonomy Codes

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

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