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Individual

AL MUFTAU A ADEITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW-C

Contact information

Practice address
3719 E BALTIMORE ST, BALTIMORE, MD 21224-1509
(240) 486-1238
Mailing address
111 CHURCH ST, BALTIMORE, MD 21225-3503
(240) 486-1238

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
24519
MD

Other

Enumeration date
01/04/2018
Last updated
04/22/2022
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