Individual
FREDERICK G. MEDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWC
Contact information
Practice address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 453-2529
Mailing address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02624
MD
Other
Enumeration date
04/21/2014
Last updated
07/13/2022
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