Individual
MRS. KALLISTA FAITH CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
9458 BALLARD GREEN DR, OWINGS MILLS, MD 21117-5913
(540) 841-8536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23243
MD
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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