Individual
TEWEDAJ KEBEDE MOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 YORK RD STE 202, BALTIMORE, MD 21212-3620
(301) 345-1022
Mailing address
5820 YORK RD STE 202, BALTIMORE, MD 21212-3620
(301) 345-1022
(301) 560-5588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25053
MARYLAND BOARD OF SOCAIL WORK EXAMINERS
MD
Enumeration date
07/12/2019
Last updated
07/12/2019
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