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Individual

AMANDA CATHERINE WISNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(410) 703-1108
Mailing address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(410) 703-1108

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26490
MD

Other

Enumeration date
07/06/2017
Last updated
08/04/2021
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