Individual
ROSELINE IMBOLO PETRO-SIEWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 GREENMOUNT AVE, BALTIMORE, MD 21202-4238
(410) 234-1815
Mailing address
926 GREENMOUNT AVE, BALTIMORE, MD 21202-4238
(410) 234-1815
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
08955
MD
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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