Individual
BETTY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 HILLEN RD, BALTIMORE, MD 21218-2227
(410) 396-6496
Mailing address
6518 HOPETON AVE, BALTIMORE, MD 21215-2721
(443) 858-6011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06054
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34503
—
MD
Enumeration date
02/26/2019
Last updated
02/26/2019
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