Individual
DR. EDWARD PECUKONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PH.D.
Contact information
Practice address
3244 DANMARK DR, GLENWOOD, MD 21738-9415
(410) 493-1530
Mailing address
3244 DANMARK DR, GLENWOOD, MD 21738-9415
(410) 493-1530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
04642
MD
1041C0700X
Clinical Social Worker
Primary
04642
MD
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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