Individual
LAWRENCE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
2520 PENNSYLVANIA AVE, BALTIMORE, MD 21217
(443) 438-4546
Mailing address
2520 PENNSYLVANIA AVE, BALTIMORE, MD 21217-1748
(443) 438-4546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1706
MD
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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