Individual
JUDITH SUROWIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
209 E BROADWAY, BEL AIR, MD 21014-2905
(410) 638-9791
Mailing address
209 E BROADWAY, BEL AIR, MD 21014-2905
(410) 638-9791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6902000000 QY60
CAREFIRST BLUECROSS BLUES
MD
Enumeration date
02/21/2007
Last updated
10/29/2007
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