Individual
AUDREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 GWYNN OAK AVE, BALTIMORE, MD 21207-6803
(443) 384-7067
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 384-7067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
HS-BCP-7989
MD
Other
Enumeration date
02/22/2025
Last updated
03/06/2025
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