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Organization

NEW PATHWAYS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK MITTELMAN LCSW-C (EXECUTIVE DIRECTOR)
(410) 464-2600
Entity
Organization

Contact information

Practice address
1045 TAYLOR AVE, SUITE 21, TOWSON, MD 21286-8331
(667) 308-2319
(667) 308-2352
Mailing address
110 WEST RD, SUITE 430, TOWSON, MD 21204-2316
(410) 464-2600
(410) 464-2687

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251B00000X
Case Management Agency
Primary
253J00000X
Foster Care Agency
00024
MD

Other

Enumeration date
04/07/2015
Last updated
04/07/2015
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