Individual
MIRA L TESLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N CHARLES ST, BALTIMORE, MD 21201-4358
(410) 231-3229
Mailing address
9 CARLTON DR, MONTCLAIR, NJ 07043-2603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34061
MD
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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