Individual
GLADYS Y BOURNE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 871-6988
Mailing address
510 RANDOM RD, BALTIMORE, MD 21229-3930
(443) 527-7531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14676
MD
Other
Enumeration date
07/18/2019
Last updated
02/15/2022
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