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Individual

RAQUEL MADIA CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4200 EDMONDSON AVE STE 202, BALTIMORE, MD 21229-1614
(410) 240-1449
Mailing address
6503 COPPER RIDGE DR APT T2, BALTIMORE, MD 21209-2348
(410) 240-1449

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21980
MD

Other

Enumeration date
12/28/2019
Last updated
12/28/2019
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