DR. Scott David Hetman, LCSW

NPI #1972170900 in Middle River, Maryland

Provider Information

NPI Number: 1972170900
Entity Type: Individual
Name: DR. Scott David Hetman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 8, 2021
Last Updated: Dec 31, 2024

Practice Location

Address: 2701 EASTERN BLVD
Address 2: BASE SUPPORT BLDG ROOM 201
City: Middle River
State: Maryland
ZIP Code: 21220
Phone: (410) 918-6558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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