Destinie Janerio Statum, LMSW

NPI #1669172623 in Edgewater, Maryland

Provider Information

NPI Number: 1669172623
Entity Type: Individual
Name: Destinie Janerio Statum, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Mar 8, 2023
Last Updated: Mar 8, 2023

Practice Location

Address: 2600 SOLOMONS ISLAND RD
City: Edgewater
State: Maryland
ZIP Code: 21037-1102
Phone: (443) 433-5900

Specialties & Taxonomy Codes

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

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