Individual
ANDREA LYNN COMMARATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Mailing address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02856
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273761
COM PSYCH
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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