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1407124217
KAIRO VIVAS
PIKESVILLE, MD
NPI
1407124217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 17447)
Enumeration Date
2011-12-07
Last Update Date
2022-01-07
Business Address
Mr. KAIRO VIVAS LCSW-C
8 RESERVOIR CIR STE 105
PIKESVILLE, MD 21208-6362
Phone number: 202-670-3704
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Mailing Address
Mr. KAIRO VIVAS LCSW-C
8 RESERVOIR CIR STE 105
PIKESVILLE, MD 21208-6362
Phone number: 202-250-9008
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