Individual
JELISA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5919 YORK RD, BALTIMORE, MD 21212-3027
(443) 862-4316
Mailing address
5919 YORK RD, BALTIMORE, MD 21212-3027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24586
MH
Other
Enumeration date
05/03/2022
Last updated
01/25/2023
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