Individual
MRS. EMMANOELLE AJAIME O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 929-2404
Mailing address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 929-2404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17972
MD
Other
Enumeration date
02/23/2015
Last updated
11/11/2021
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