Individual
JOHN WILLIAM KERSCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1406B CRAIN HWY S, SUITE 301, GLEN BURNIE, MD 21061-4099
(410) 760-5588
Mailing address
1406B CRAIN HWY S, SUITE 301, GLEN BURNIE, MD 21061-4099
(410) 760-5588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15844
MD
1041C0700X
Clinical Social Worker
1894
LA
1041C0700X
Clinical Social Worker
CO432
MS
Other
Enumeration date
07/25/2006
Last updated
08/23/2011
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