Individual
CORY WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
200 GLENN ST STE 200, CUMBERLAND, MD 21502-2582
(240) 580-1919
Mailing address
16625 N CONDA WAY, RAWLINGS, MD 21557-1023
(240) 727-9150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22845
MD
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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