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Individual

MR. ANTHONY ESTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW-C

Contact information

Practice address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
(410) 630-7882
Mailing address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
(410) 630-7882

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1657
MD
1041C0700X
Clinical Social Worker
Primary
15813
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104050201
MD
Enumeration date
11/15/2011
Last updated
02/17/2020
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