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Individual

ROSHELL DENISE AYDLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6615 REISTERSTOWN RD STE 203, BALTIMORE, MD 21215-2686
(240) 316-1461
Mailing address
2626 CANTERBURY RD, PARKVILLE, MD 21234-7009
(443) 324-0715

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26840
MD

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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