Individual
CAROL BAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 ADELPHI RD, HYATTSVILLE, MD 20782-1454
(301) 852-1901
Mailing address
7000 ADELPHI RD, HYATTSVILLE, MD 20782-1497
(301) 852-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07096
MD
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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