Individual
MS. AMANI M SURGES MARTORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8830 ORCHARD TREE LN, STE 127, BALTIMORE, MD 21286-2143
(443) 632-6306
Mailing address
1235 UNION AVE, BALTIMORE, MD 21211-1902
(410) 800-2414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15328
MD
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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