Individual
MRS. NICOLE WHITE-SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
705 WALNUT GROVE RD, BALTIMORE, MD 21221-6061
(410) 365-3431
Mailing address
705 WALNUT GROVE RD, BALTIMORE, MD 21221-6061
(410) 365-3431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19200
MD
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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