Individual
CHARLOTTE G BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 SLADE AVE, PIKESVILLE, MD 21208-4900
(410) 855-4448
(443) 548-2800
Mailing address
124 SLADE AVE, PIKESVILLE, MD 21208-4900
(410) 855-4448
(443) 548-2800
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
ATC112
MD
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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