Individual
MARY KLESIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NEWARK AVE, ELKTON, MD 21921-5653
(410) 996-5104
Mailing address
203 NEWARK AVE, ELKTON, MD 21921-5653
(410) 996-5104
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
13945
MD
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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