Individual
KORI BALTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 BALTIMORE AVE STE 300, COLLEGE PARK, MD 20740-2496
(240) 670-4050
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 436-4366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15723
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/02/2020
Last updated
10/16/2024
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