Individual
CARRIE CARLEVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 CAMPBELL BLVD, KAISER PERMANENTE WHITE MARSH MEDICAL CENTER, NOTTINGHAM, MD 21236-5916
(410) 933-7600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICAL ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14833
MD
Other
Enumeration date
04/09/2009
Last updated
10/12/2011
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