Individual
MARIAM BA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
951 RUSSELL AVE, GAITHERSBURG, MD 20879-3283
(240) 246-7837
Mailing address
4802 RIVER CREEK TER, BELTSVILLE, MD 20705-5109
(240) 374-8021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29880
MD
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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