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Individual

MS. BETTY BAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWC

Contact information

Practice address
4701 RANDOLPH RD STE 209B, ROCKVILLE, MD 20852-2257
(301) 231-9001
(301) 231-0124
Mailing address
PO BOX 113, GARRETT PARK, MD 20896
(301) 231-9001
(301) 231-0124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15171
MD

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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