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Organization

GLADWELL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE WANJIRU DONNERSTAG (PRESIDENT)
(443) 600-8467
Entity
Organization

Contact information

Practice address
1015 DEBBIE AVE, BALTIMORE, MD 21221-3339
(253) 509-4433
Mailing address
1015 DEBBIE AVE, BALTIMORE, MD 21221-3339
(253) 508-8538

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/29/2023
Last updated
11/21/2025
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