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Organization
FAMILY TREE
Active
Organization
FAMILY TREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BROWN (EXECUTIVE DIRECTOR)
(410) 889-2300
Entity
Organization
Contact information
Practice address
2108 N CHARLES ST, BALTIMORE, MD 21218-5709
(410) 889-2300
(410) 637-8385
Mailing address
2108 N CHARLES ST, BALTIMORE, MD 21218-5709
(410) 889-2300
(410) 637-8385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03328
MD
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
207Q00000X
Family Medicine Physician
03328
MD
Other
Enumeration date
01/23/2013
Last updated
04/09/2026
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