Individual
CRISTA ANN TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
802 CYPRESS BEACH RD, SEVERNA PARK, MD 21146-4213
(410) 544-1671
Mailing address
802 CYPRESS BEACH RD, SEVERNA PARK, MD 21146-4213
(410) 544-1671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499188
VO-MHA
MD
05
—
609550002
—
MD
Enumeration date
09/03/2009
Last updated
11/18/2010
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