Individual
MICAH ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5022 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236-4969
(443) 442-1568
Mailing address
5022 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236-4969
(443) 442-1568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30318
MD
Other
Enumeration date
09/21/2021
Last updated
04/05/2024
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