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Individual

HAZEL LAING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWC

Contact information

Practice address
4543 KESWICK RD, BALTIMORE, MD 21210
(410) 271-0267
Mailing address
4543 KESWICK RD, BALTIMORE, MD 21210
(410) 271-0267

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08669
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024014100
MD
Enumeration date
12/03/2007
Last updated
12/06/2012
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