Individual
MS. BEVERLY JEAN TELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW-C
Contact information
Practice address
6310 HARFORD ROAD, BALTIMORE, MD 21214
(410) 426-6370
(410) 426-3491
Mailing address
6310 HARFORD ROAD, BALTIMORE, MD 21214
(410) 426-6370
(410) 426-3491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05629
MD
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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