Individual
KINDA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Mailing address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30840
MD
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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