Individual
MR. BRYAN JAMES CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
150 W WEST ST, BALTIMORE, MD 21230-3739
(410) 396-4325
Mailing address
1011 ELLICOTT DR, BEL AIR, MD 21015-3401
(443) 629-9960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11279
MD
1041S0200X
School Social Worker
11279
MD
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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