Individual
WILLIE LEEVON COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 799-3012
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 799-3012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G13027
MD
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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