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Contact Information

JOANNA DURHAM LLC
3355 ST JOHNS LANE
SUITE F
ELLICOTT CITY, MD21043
 Phone: 410-456-7022
 Fax: 410-465-4822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JOANNA DURHAM LLC · (Female)

NPI Number 1033251202
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 09934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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