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NPI Code Detail

MEDICARE: HEATHER LYNN DUNDAS LMSW

MEDICARE: HEATHER LYNN DUNDAS 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
11041C0700XClinical Social Worker34356MD

General Provider Information

NPI Number : 1376490052
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LYNN DUNDAS LMSW
Provider Business Mailing Address
First Line : 13941 JARRETTSVILLE PIKE
Second Line :
City : PHOENIX
State : MD
Zip : 21131-1410
Country : US
Telephone Number : 443-841-0946
Fax Number :
Provider Business Practice Location Address
First Line : 135 N PARKE ST
Second Line :
City : ABERDEEN
State : MD
Zip : 21001-2428
Country : US
Telephone Number : 443-625-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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