Individual
MRS. DELORES AUSTIA LONG-COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(443) 540-3756
Mailing address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(443) 540-3756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06946
MD
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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