Organization
DUNDALK YOUTH SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA ATLEE LCSW-C (CLINICAL SUPERVISOR)
(410) 288-4356
Entity
Organization
Contact information
Practice address
2 N DUNDALK AVE, 2ND FLOOR, BALTIMORE, MD 21222-4221
(410) 288-4356
Mailing address
2 N DUNDALK AVE, 2ND FLOOR, BALTIMORE, MD 21222-4221
(410) 288-4356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11207
MD
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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