Individual
KEVIN MATHEW DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6401 YORK RD, BALTIMORE, MD 21212-2152
(443) 602-0219
Mailing address
5860 DEBORAH JEAN DR, ELKRIDGE, MD 21075-1000
(443) 602-0219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24657
MD
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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