Individual
MR. KAIRO VIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
8 RESERVOIR CIR STE 105, PIKESVILLE, MD 21208-6362
(202) 670-3704
Mailing address
8 RESERVOIR CIR STE 105, PIKESVILLE, MD 21208-6362
(202) 250-9008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17447
MD
1041S0200X
School Social Worker
LC50081219
DC
Other
Enumeration date
12/07/2011
Last updated
02/20/2025
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