Individual
MRS. GANLEY BRANCH-VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
106 WEST CLAY STREET, BALTIMORE, MD 21201
(410) 837-2258
(410) 837-2692
Mailing address
106 WEST CLAY STREET, BALTIMORE, MD 21201
(410) 837-2258
(410) 837-2692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18835
MD
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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