Individual
ZONA LORVENIA TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 E PATAPSCO AVE, BALTIMORE, MD 21225-1934
(410) 355-1532
Mailing address
19 STUART MILLS PL, CATONSVILLE, MD 21228-2656
(410) 908-4788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LGA2540
MD
104100000X
Social Worker
Primary
22068
MD
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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