Individual
MS. JANICE CAROL MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
679 LUCKY LEAF CIR, BALTIMORE, MD 21228-1788
(410) 802-8636
Mailing address
679 LUCKY LEAF CIR, BALTIMORE, MD 21228-1788
(410) 802-8636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04630
MD
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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