Individual
MS. LISA GRESHAM-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
(410) 630-7882
Mailing address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
(410) 630-7882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19313
MD
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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