Individual
CANDICE A TUMMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, OCW-C
Contact information
Practice address
729 E PRATT STREET, SUITE 560, BALTIMORE, MD 21202-2120
(434) 401-4075
Mailing address
729 E PRATT ST STE 560, BALTIMORE, MD 21202-3558
(434) 401-4075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31910
MD
1041C0700X
Clinical Social Worker
44SC05905200
NJ
1041C0700X
Clinical Social Worker
CW020828
PA
1041C0700X
Clinical Social Worker
LW61507649
WA
Other
Enumeration date
10/14/2024
Last updated
04/23/2025
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