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Individual

MYKIA WOOLRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6319 BOSTON STREET, BALTIMORE, MARYLAND, MD 21224
(443) 240-7268
Mailing address
5009 FRANKFORD AVE, BALTIMORE, MD 21206-5353
(410) 325-4000

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02833
MD

Other

Enumeration date
03/09/2022
Last updated
03/09/2022
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