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Individual

MR. EDWARD COLUMBUS WHITFIELD SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1419 MADISON PARK DR, GLEN BURNIE, GLEN BURNIE, MD 21061-5613
(410) 768-2719
(410) 424-2983
Mailing address
1419 MADISON PARK DR, GLEN BURNIE, GLEN BURNIE, MD 21061-5613
(410) 768-2719
(410) 424-2983

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104983568
MD
Enumeration date
04/28/2014
Last updated
04/28/2014
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