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NPI Code Detail

MEDICARE: DAVID ANDREW DODSON LMSW

MEDICARE: DAVID ANDREW DODSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker23984MD

General Provider Information

NPI Number : 1750867578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ANDREW DODSON LMSW
Provider Business Mailing Address
First Line : 18759 MANOR CHURCH RD
Second Line :
City : BOONSBORO
State : MD
Zip : 21713-2509
Country : US
Telephone Number : 301-992-2900
Fax Number :
Provider Business Practice Location Address
First Line : 11670 OLD NATIONAL PIKE STE 103
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6123
Country : US
Telephone Number : 301-265-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2018
Last Update Date : 07/15/2018

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Directions to “ DAVID ANDREW DODSON LMSW” Practice Location

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