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Organization
THIS IS THE WRONG TAX ID
Active
Organization
THIS IS THE WRONG TAX ID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN GLASER (CREDENTIALING MGR)
(410) 868-3498
Entity
Organization
Contact information
Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 814-9411
Mailing address
5105 THOMAS AVE, BALTIMORE, MD 21236-4237
(443) 814-9411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
07/24/2025
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