Individual
KIERAN RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1725 INGRAM RD, BALTIMORE, MD 21239-3718
(443) 648-5547
Mailing address
1725 INGRAM RD, BALTIMORE, MD 21239-3718
(443) 648-5744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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