Individual
MR. KAMIL SUDAN MADINA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Mailing address
2631 GUILFORD AVE, BALTIMORE, MD 21218-4613
(410) 366-8653
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09921
MD
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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