Individual
KATHARINE L PETZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3 N HARRISON ST STE 206, EASTON, MD 21601-3146
(410) 819-2150
Mailing address
520 TRIPPE AVE, EASTON, MD 21601-2521
(410) 819-2150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21847
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367255700
—
MD
Enumeration date
03/14/2018
Last updated
09/30/2020
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