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Individual

MRS. TAISHA VINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
2311 WILLOUGHBY BEACH RD, EDGEWOOD, MD 21040-3419
(443) 907-9652
Mailing address
128 BRANNAN RD, ABERDEEN, MD 21001-2502

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22817
MD

Other

Enumeration date
11/08/2017
Last updated
11/08/2017
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