Willis- Wade, Dominique
Willis- Wade, Dominique is an sole proprietor health care provider with primary practice located at 1111 Halstead Rd , Parkville MD 21234-6660. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Willis- Wade, Dominique can be contacted via phone (301) 379-0271.Contact Information
Primary practice address
1111 Halstead Rd
Parkville MD 21234-6660
Phone: (301) 379-0271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 27777 | Maryland |
Profile Details
| NPI number | 1326749011 |
|---|---|
| LBN Legal business name | Willis- Wade, Dominique |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2023 |
| Last updated | Mar 10th, 2023 - about last year |
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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