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Organization
LIGHTING MY PATH LLC
Active
Organization
LIGHTING MY PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH DJARBENG LCSW-C (SOCIAL WORKER)
(443) 840-7099
Entity
Organization
Contact information
Practice address
25 ALSAB CT, BALTIMORE, MD 21244-1429
(443) 840-7099
Mailing address
4 MILFORD GARDEN CT, BALTIMORE, MD 21244-2978
(443) 840-7099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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