Individual
MRS. KATHLEEN JOHNSTON SIROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
138 MARBURTH AVE, BALTIMORE, MD 21286-1144
(410) 296-2254
Mailing address
138 MARBURTH AVE, BALTIMORE, MD 21286-1144
(410) 296-2254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06571
MD
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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