Individual
CHAE W KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
711 W 40TH ST, SUITE 230B, BALTIMORE, MD 21211-2120
(410) 532-3080
(410) 532-3080
Mailing address
711 W 40TH ST, SUITE 230B, BALTIMORE, MD 21211-2120
(410) 532-3080
(410) 532-3080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12156
MD
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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