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1255962841
DAVID JESSIE IDEMUDIA
GLEN BURNIE, MD
NPI
1255962841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MD 24208)
Enumeration Date
2020-02-01
Last Update Date
2021-10-01
Business Address
DAVID JESSIE IDEMUDIA LCSW-C
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061-5884
Phone number: 410-837-2050
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Mailing Address
DAVID JESSIE IDEMUDIA LCSW-C
200 HOSPITAL DR STE 500
GLEN BURNIE, MD 21061-5887
Phone number: 410-837-2050
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