Individual
MRS. AISHA DAWN MACKALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2502 MARYLAND AVE, 1ST FLOOR, BALTIMORE, MD 21218-4510
(443) 896-7505
Mailing address
7451 CATTERICK CT, WINDSOR MILL, MD 21244-5600
(443) 896-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13229
LCSW-C
MD
Enumeration date
05/10/2007
Last updated
06/02/2021
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