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1720615743
CORYE GOODMAN PIKE
BALTIMORE, MD
NPI
1720615743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 25679)
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
CORYE GOODMAN PIKE
414 LYMAN AVE
BALTIMORE, MD 21212-3511
Phone number: 240-461-9317
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Mailing Address
CORYE GOODMAN PIKE
5916 CHARLESMEAD RD
BALTIMORE, MD 21212-2411
Phone number: 240-461-9317
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