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Individual

ELLEN CRUICE SATYSHUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
3300 N CALVERT ST, BALTIMORE, MD 21218-2820
(410) 544-6600
(410) 544-6603
Mailing address
3300 N CALVERT ST, BALTIMORE, MD 21218-2820
(410) 544-6600
(410) 544-6603

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15836
MD
1041C0700X
Clinical Social Worker
SW 9160
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
591964034
TAX ID #
FL
05
591964034
FL
Enumeration date
12/15/2008
Last updated
11/24/2020
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