Individual
SUSAN JEAN INGALSBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5407 N CHARLES STREET, BALTIMORE, MD 21210
(410) 433-8861
(410) 433-1249
Mailing address
5407 N CHARLES STREET, BALTIMORE, MD 21210
(410) 433-8861
(410) 433-1249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08139
MD
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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