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Organization
KATE GOODELL
Active
Organization
KATE GOODELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE GOODELL (CLINICAL THERAPIST)
(443) 540-9112
Entity
Organization
Contact information
Practice address
4810 CROWSON AVE, BALTIMORE, MD 21212-4409
(443) 540-9112
Mailing address
4810 CROWSON AVE, BALTIMORE, MD 21212-4409
(443) 540-9112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15631
MD
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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