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Organization
UNCAGED POTENTIAL LLC
Active
Organization
UNCAGED POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY AVILES (OWNER)
(410) 929-1101
Entity
Organization
Contact information
Practice address
703 DALE AVE, BALTIMORE, MD 21206
(410) 929-1101
(410) 522-1181
Mailing address
703 DALE AVE, BALTIMORE, MD 21206
(410) 929-1101
(410) 522-1181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
05/09/2024
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