Individual
EYITAYO ENITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 LIBERTY HEIGHTS AVE, SUITE 111, BALTIMORE, MD 21215-7901
(410) 383-7760
(410) 383-7688
Mailing address
2400 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7901
(410) 383-7760
(410) 383-7688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16552
MD
Other
Enumeration date
01/04/2011
Last updated
02/13/2024
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