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Individual

DR. DAVID JOHN MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
202 HOMEWOOD TER, BALTIMORE, MD 21218-2804
(410) 255-1680
Mailing address
202 HOMEWOOD TER, BALTIMORE, MD 21218-2804
(410) 255-1680

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02969
MD

Other

Enumeration date
01/03/2023
Last updated
01/03/2023
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