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Organization
SRD
Active
Organization
SRD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ERSKINE (BILLING MANAGER)
(717) 428-0552
Entity
Organization
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(717) 428-0552
Mailing address
701 W PRATT ST, BALTIMORE, MD 21201-1023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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