Individual
KEVON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2528 MOUNTAIN RD STE 204, PASADENA, MD 21122-7204
(443) 548-3733
Mailing address
2528 MOUNTAIN RD STE 204, PASADENA, MD 21122-7204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31013
MD
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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