Individual
CORYE GOODMAN PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 LYMAN AVE, BALTIMORE, MD 21212-3511
(240) 461-9317
Mailing address
5916 CHARLESMEAD RD, BALTIMORE, MD 21212-2411
(240) 461-9317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25679
MD
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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