Individual
MS. JANUARY PAGE RAVEN UTERMAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
5720 EXECUTIVE DR STE 100-105, CATONSVILLE, MD 21228-1757
(410) 780-5203
Mailing address
843 JOHAHN DRIVE, WESTMINSTER, MD 21158
(410) 259-3920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20559
MD
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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