Individual
KIMBERLY R CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
9701 PHILADELPHIA CT STE R, LANHAM, MD 20706
(443) 438-6742
(443) 773-5624
Mailing address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383876389
—
MD
Enumeration date
05/15/2018
Last updated
07/03/2018
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