Individual
COLLEEN M NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 GAYWOOD RD, BALTIMORE, MD 21212-1709
(410) 530-6336
Mailing address
200 GAYWOOD RD, BALTIMORE, MD 21212-1709
(410) 530-6336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20838
MD
Other
Enumeration date
06/21/2017
Last updated
07/06/2017
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