Dillard, Michelle A
Dillard, Michelle A is an sole proprietor health care provider with primary practice located at 11705 Berry Rd Ste 104 , Waldorf MD 20603-5933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dillard, Michelle A can be contacted via phone (140) 207-4513.Contact Information
Primary practice address
11705 Berry Rd Ste 104
Waldorf MD 20603-5933
Phone: (140) 207-4513
Fax: (240) 846-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC50077993 | District of Columbia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904009461 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12614 | Maryland |
Profile Details
| NPI number | 1083988133 |
|---|---|
| LBN Legal business name | Dillard, Michelle A |
| Credentials | LCSW-C, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2012 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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