Provider Demographics
NPI:1669605101
Name:DADDS, DEBORAH L (LGSW)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:L
Last Name:DADDS
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HOFFECKER RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1972
Mailing Address - Country:US
Mailing Address - Phone:410-758-4780
Mailing Address - Fax:
Practice Address - Street 1:828 AIRPAX RD
Practice Address - Street 2:BLDG B STE 300
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-6405
Practice Address - Country:US
Practice Address - Phone:410-228-3929
Practice Address - Fax:410-228-3810
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker