Individual
MRS. IRINA GREGORY RUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7201 TRAVERTINE DRIVE, UNIT 402, BALTIMORE, MD 21209-5229
(443) 928-0748
Mailing address
7201 TRAVERTINE DRIVE, UNIT 402, BALTIMORE, MD 21209-5229
(443) 928-0748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09847
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292A
LCSW-C
MD
Enumeration date
06/21/2006
Last updated
10/23/2007
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