Individual
NICOLE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC CCDC LLC
Contact information
Practice address
744 DULANEY VALLEY RD, SUITE 2, TOWSON, MD 21204-5132
(410) 494-6668
(443) 403-2566
Mailing address
744 DULANEY VALLEY RD, SUITE 2, TOWSON, MD 21204-5132
(410) 494-6668
(443) 403-2566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401199600
—
MD
Enumeration date
02/05/2007
Last updated
09/24/2010
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