Individual
ELISA SUE FULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2833 SMITH AVE STE 404, BALTIMORE, MD 21209-1426
(443) 804-8265
Mailing address
2833 SMITH AVE STE 404, BALTIMORE, MD 21209-1426
(443) 804-8265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20269
MD
Other
Enumeration date
03/26/2018
Last updated
11/14/2018
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