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Individual

ANDREW GORDON BELLANCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LGSW

Contact information

Practice address
6918 RIDGE RD, ROSEDALE, MD 21237-3854
(443) 442-1568
(443) 442-1569
Mailing address
6918 RIDGE RD, ROSEDALE, MD 21237-3854
(443) 442-1568
(443) 442-1569

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16867
MD

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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