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Individual

ELIANA WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
1014 W 36TH ST, BALTIMORE, MD 21211-2415
(410) 949-5533
Mailing address
1014 W 36TH ST, BALTIMORE, MD 21211-2415
(410) 949-5533

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/25/2021
Last updated
08/25/2021
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