Individual
TOWANDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 E FORT AVE, BALTIMORE, MD 21230-5215
(410) 591-2971
Mailing address
1425 E FORT AVE, BALTIMORE, MD 21230-5215
(410) 591-2971
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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