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1710521729
ALEXIS STATON
BALTIMORE, MD
NPI
1710521729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 25089)
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
ALEXIS STATON LMSW
6253 KENWOOD AVE
BALTIMORE, MD 21237-2020
Phone number: 443-415-9589
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Mailing Address
ALEXIS STATON LMSW
6253 KENWOOD AVE
BALTIMORE, MD 21237-2020
Phone number: 443-415-9589
Copy
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