Organization
COROZON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILHELMENA VICTORIA VANDENBURG LCSW-C (LICENSED CLINICAL SOCIAL WORKER)
(410) 790-4833
Entity
Organization
Contact information
Practice address
1344 W 41ST ST, BALTIMORE, MD 21211-1549
(410) 790-4833
Mailing address
1344 W 41ST ST, BALTIMORE, MD 21211-1549
(410) 790-4833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10361
MD
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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