Individual
JOHN CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 WILKENS AVE, STE 308, BALTIMORE, MD 21229-5214
(443) 744-0126
Mailing address
15101 PARRISH RD, UPPERCO, MD 21155-9766
(443) 744-0126
(443) 817-0832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15571
MD
Other
Enumeration date
12/14/2009
Last updated
12/23/2020
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