Individual
VIVIEN MARY BUVAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SCOTT ST, BALTIMORE, MD 21201-1033
(240) 370-8820
Mailing address
109 SCOTT ST, BALTIMORE, MD 21201-1033
(240) 370-8820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27266
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/23/2019
Last updated
07/13/2021
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