Individual
KIMYATTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1731 E BALTIMORE ST APT 1, BALTIMORE, MD 21231-1582
(443) 243-0587
Mailing address
1731 E BALTIMORE ST APT 1, BALTIMORE, MD 21231-1582
(443) 243-0587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31093
MD
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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