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Individual

MS. TONI ANTOINETTE VLASITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW C

Contact information

Practice address
6203 C PIMLICO RD, BALTIMORE, MD 21209
(410) 764-3494
Mailing address
6203 C PIMLICO RD, BALTIMORE, MD 21209
(410) 764-3494

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08270
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4050100
MD
01
4292
BCBS
MD
01
QB79TV
BCBS
MD
Enumeration date
12/05/2006
Last updated
07/08/2007
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