Erica D Southworth
NPI #1861937435 in California, Maryland
Provider Information
- NPI Number
- 1861937435
- Entity Type
- Individual
- Name
- Erica D Southworth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 5, 2017
- Last Updated
- Jan 5, 2017
Practice Location
- Address
- 23077 THREE NOTCH RD STE 302
- City
- California
- State
- Maryland
- ZIP Code
- 20619-2453
- Phone
- (240) 237-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Counselor - School — School |
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