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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

NPI Number 1033251202
LBN Legal business name JOANNA DURHAM LLC
Authorized official JOANNA DURHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MD License # 09934
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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