Individual
MRS. STACY RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-1280
Mailing address
282 CEDARMERE CIR, OWINGS MILLS, MD 21117-2446
(410) 370-5554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21833
MD
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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