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Individual

CARLEY KELCEE AGUEDA-DIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
130 N BRADFORD ST, BALTIMORE, MD 21224-1036
(443) 540-8280
Mailing address
130 N BRADFORD ST, BALTIMORE, MD 21224-1036
(443) 540-8280

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25887
MD

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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