Individual
EVIVA IDA KAHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 W 34TH ST STE 105, BALTIMORE, MD 21211-2658
(410) 929-0401
Mailing address
343 E 28TH ST APT 2, BALTIMORE, MD 21218-6735
(281) 788-6739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
09/09/2024
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