Individual
CAROLINE WISEMAN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4940 EASTERN AVE, COMMUNITY PSYCHIATRY PROGRAM, BALTIMORE, MD 21224-2735
(410) 550-8278
(410) 550-8048
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-8278
(410) 550-8048
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1178
MD
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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