Individual
HANNAH MICHELE BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 YORK RD STE A302, LUTHERVILLE, MD 21093
(443) 470-9815
Mailing address
1514 RUXTON RD, TOWSON, MD 21204-6624
(901) 833-7639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
11/06/2018
Last updated
01/03/2019
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