Individual
LAURA RACHEL BOUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
608 BOSLEY AVE STE 203, TOWSON, MD 21204-4029
(443) 900-1075
Mailing address
3976 EDGEHILL AVE APT D7, BALTIMORE, MD 21211-1747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24948
MD
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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