SearchMaryland1041C0700X

Ida Dacey, MSW LCSW

NPI 1295094803 · on the registry since 2012 · sole proprietor

Practice

Address
120 Banjo Ln
Centreville, MD 21617
Phone
(410) 758-2211
Fax
(410) 758-1223
Organisation at this address
Lower Shore Clinic, Inc.
Crossroads Community, Inc.
Crossroads Community, Inc.
Crossroads Community, Inc.
Crossroads Community, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland