Individual
GLORIA S VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
701 W PRATT ST, 2ND FLOOR, BALTIMORE, MD 21201-1023
(410) 328-1406
(410) 328-1614
Mailing address
PO BOX 64277, BALTIMORE, MD 21264-4277
(410) 328-7037
(410) 328-3311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0738
MD
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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