Individual
CHRISTY LYNN WASILENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, LICSW
Contact information
Practice address
3701 EASTERN AVE, BALTIMORE, MD 21224-4208
(443) 517-9979
Mailing address
PO BOX 43361, NOTTINGHAM, MD 21236-0361
(443) 517-9979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12664
MD
1041C0700X
Clinical Social Worker
LC50079168
DC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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