Diane M.mckissick, L.c.s.w.-C., Ltd
NPI #1780710657 in Mechanicsville, Maryland
Provider Information
- NPI Number
- 1780710657
- Entity Type
- Organization
- Organization Name
- Diane M.mckissick, L.c.s.w.-C., Ltd
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 41201 FRIENDSHIP CT
- City
- Mechanicsville
- State
- Maryland
- ZIP Code
- 20659-3877
- Phone
- (301) 373-7750
Authorized Official
- Name
- DIANE M MCKISSICK, LSCW-C
- Title
- OWNER
- Phone
- (301) 373-7750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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