Individual
AVANTE KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
703 DALE AVE, BALTIMORE, MD 21206-1308
(201) 920-6787
Mailing address
1927 S 9TH ST, SAINT LOUIS, MO 63104-3931
(443) 882-0585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30139
MD
Other
Enumeration date
05/15/2024
Last updated
05/28/2024
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