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Individual

GAIL MARTIN MUMPOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
306 W PULASKI HWY, ELKTON, MD 21921-5217
(410) 686-3629
Mailing address
609 BETHEL CHURCH RD, NORTH EAST, MD 21901-2212
(443) 466-2166

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25177
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548742554
MD
Enumeration date
08/20/2019
Last updated
09/06/2023
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