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Organization
ROBERTA'S HOUSE, INC.
Active
Organization
ROBERTA'S HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANAYA LATRICE STANLEY LCSW-C (CLINICAL SUPERVISOR)
(410) 235-6633
Entity
Organization
Contact information
Practice address
928 E NORTH AVE, BALTIMORE, MD 21202-5825
(410) 235-6633
(410) 235-6636
Mailing address
928 E NORTH AVE, BALTIMORE, MD 21202-5825
(410) 235-6633
(410) 235-6636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351024700
—
MD
Enumeration date
06/05/2019
Last updated
08/19/2021
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