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Organization
TOGETHER WE RISE LLC
Active
Organization
TOGETHER WE RISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IESHA FAISON LCSWC (SOCIAL WORKER)
(410) 705-5362
Entity
Organization
Contact information
Practice address
1014 W 36TH ST, BALTIMORE, MD 21211-2415
(410) 705-5362
Mailing address
1808 RUTLAND AVE, BALTIMORE, MD 21213-2467
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/10/2020
Last updated
07/14/2020
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