Healthcare Provider Details

I. General information

NPI: 1528393501
Provider Name (Legal Business Name): CDH CONNECTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 10/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4702 BUXTON CIR
OWINGS MILLS MD
21117-5129
US

IV. Provider business mailing address

4702 BUXTON CIR
OWINGS MILLS MD
21117-5129
US

V. Phone/Fax

Practice location:
  • Phone: 410-984-8060
  • Fax:
Mailing address:
  • Phone: 410-984-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09373
License Number StateMD

VIII. Authorized Official

Name: MS. CANDACE DAVIS HAWKINS
Title or Position: PRESIDENT
Credential: MSW
Phone: 410-984-8060