Individual
MACKENZIE TAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1870
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27526
MD
1041C0700X
Clinical Social Worker
27526
MD
1041S0200X
School Social Worker
27526
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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