Individual
AUDRY SORAYA MOTLAGH-HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, MPH
Contact information
Practice address
5508 PILGRIM RD, BALTIMORE, MD 21214-1615
(410) 343-9201
Mailing address
1813 SOUTH RD APT 3W, BALTIMORE, MD 21209-4571
(912) 247-8802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21247
MD
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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