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Individual

BRIDGIT LACY-WOLAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
30 E PADONIA RD STE 202, LUTHERVILLE TIMONIUM, MD 21093-2308
(443) 367-1333
Mailing address
204 SAINT CHARLES WAY UNIT E, BOX 372, YORK, PA 17402-4646
(443) 367-1333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14545
MD
1041C0700X
Clinical Social Worker
CSW.09927685
CO

Other

Enumeration date
01/29/2019
Last updated
10/12/2024
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