Individual
BENJAMIN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
600 REISTERSTOWN RD STE 600F, BALTIMORE, MD 21208-5136
(443) 540-4134
Mailing address
6808 TIMBERLANE RD, BALTIMORE, MD 21209-1431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18877
MD
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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