Individual
MS. ELIZABETH MAE HAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6401 YORK RD, 3RD FLOOR, AERS, BALTIMORE, MD 21212-2152
(410) 887-2754
(410) 887-4820
Mailing address
6401 YORK RD, 3RD FLOOR, AERS, BALTIMORE, MD 21212-2152
(410) 887-2754
(410) 887-4820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07135
MD
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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