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Organization
TRANSFORMING AND RENEWING YOU
Active
Organization
TRANSFORMING AND RENEWING YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAVIA M LITTLE LCSW-C (OWNER)
(443) 939-5223
Entity
Organization
Contact information
Practice address
2517 N CHARLES ST, BALTIMORE, MD 21218-4602
(443) 939-5223
Mailing address
2517 N CHARLES ST, BALTIMORE, MD 21218-4602
(443) 939-5223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11339
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MD
Enumeration date
01/15/2015
Last updated
01/15/2015
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