NPI | 1699085993 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY SUZANNE JORDAN Licensed Clinical Social Worker 410-446-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12109) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2010-10-20 |