Individual
BERNADETTE V MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4705 HARFORD RD, BALTIMORE, MD 21214-3205
(410) 444-4225
Mailing address
4705 HARFORD RD, BALTIMORE, MD 21214-3205
(410) 444-4225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G04834
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406755000
—
MD
05
—
406755002
—
MD
Enumeration date
05/06/2009
Last updated
05/06/2009
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