Individual
LAVANYA MADHUSUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 STRAIGHT STAR PL, COLUMBIA, MD 21044-5902
(248) 719-2063
Mailing address
5009 STRAIGHT STAR PL, COLUMBIA, MD 21044-5902
(248) 719-2063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28793
MD
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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