Individual
KIMBERLY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5034 CASTLESTONE DR, BALTIMORE, MD 21237-4915
(410) 365-2192
Mailing address
5034 CASTLESTONE DR, BALTIMORE, MD 21237-4915
(410) 365-2192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G08447
MD
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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