Individual
MICHAEL HERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9101 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
Mailing address
501 CASTLE DR APT D, BALTIMORE, MD 21212-2303
(443) 680-2158
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
A02441
MD
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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