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Individual

MRS. CHIVONNE E MCKOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
30 GREENWAY ST NW, SUITE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
(410) 760-1121
Mailing address
305 COPPERMILL CT, APT 203, OWINGS MILLS, MD 21117-5705
(443) 929-2504

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16600
MD

Other

Enumeration date
02/11/2011
Last updated
02/11/2011
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