Individual
RAVEN SPADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3 WALDEN CHERRY CT, GWYNN OAK, MD 21207-3938
(443) 691-6906
Mailing address
3 WALDEN CHERRY CT, GWYNN OAK, MD 21207-3938
(443) 691-6906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14370
MD
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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