Individual
MS. AVONNE M BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4101 HAYWARD AVE, BALTIMORE, MD 21215-4304
(410) 215-9097
Mailing address
4101 HAYWARD AVE, BALTIMORE, MD 21215-4304
(410) 215-9097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11092
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11092
MD DEPT. OF HEALTH AND ME
MD
Enumeration date
07/10/2007
Last updated
07/10/2007
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