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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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