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Individual

MS. KIM CASEY SCAGNELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W. - C

Contact information

Practice address
1702 SOUTH RD, BALTIMORE, MD 21209-4504
(410) 367-6545
(410) 367-8158
Mailing address
1702 SOUTH RD, BALTIMORE, MD 21209-4504
(410) 367-6545
(410) 367-8158

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06977
MD

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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