Individual
CARLA MARIA BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 MISTY VIEW RD, BALTIMORE, MD 21220-3047
(443) 325-4509
Mailing address
3903 MISTY VIEW RD, BALTIMORE, MD 21220-3047
(443) 325-4509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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