Individual
MS. KELLY GUCWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3037 MAYFIELD AVE, BALTIMORE, MD 21213-1740
(443) 734-2387
Mailing address
3037 MAYFIELD AVE, BALTIMORE, MD 21213-1740
(443) 734-2387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
14490
MD
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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