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1174925036
TAAVON BAZEMORE
BALTIMORE, MD
NPI
1174925036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18084)
Enumeration Date
2014-09-23
Last Update Date
2023-08-23
Business Address
TAAVON BAZEMORE LCSW-C
421 FALLSWAY
BALTIMORE, MD 21202-4800
Phone number: 443-703-1196
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Mailing Address
TAAVON BAZEMORE LCSW-C
2431 LAKEVIEW AVE APT 3C
BALTIMORE, MD 21217-4709
Phone number: 443-962-4674
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