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Organization

NICOLE MUNOZ, LCSW-C, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE MUNOZ LCSW-C (PSYCHOTHERAPIST, BUSINESS OWNER)
(410) 494-6668
Entity
Organization

Contact information

Practice address
744 DULANEY VALLEY RD, SUITE 2, TOWSON, MD 21204-5132
(410) 494-6668
(443) 403-2566
Mailing address
744 DULANEY VALLEY RD, SUITE 2, TOWSON, MD 21204-5132
(410) 494-6668
(443) 403-2566

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11819
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
401199600
MD
Enumeration date
03/16/2011
Last updated
03/16/2011
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