Organization
DUNDALK YOUTH SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCCANN (CLINICAL SUPERVISOR)
(410) 288-4356
Entity
Organization
Contact information
Practice address
2660 YORKWAY, BALTIMORE, MD 21222-4432
(410) 288-4356
Mailing address
2660 YORKWAY, BALTIMORE, MD 21222-4432
(410) 288-4356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13660
MD
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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