Organization
INSPIRATION MENTORING PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M GRESHAM WILSON (DIR ADM)
(443) 528-5908
Entity
Organization
Contact information
Practice address
3711 EASTERN AVE, B, BALTIMORE, MD 21224-4208
(443) 528-5908
(443) 327-6525
Mailing address
3711 EASTERN AVE, B, BALTIMORE, MD 21224-4208
(443) 528-5908
(443) 327-6525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04078
MD
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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