Individual
KAITLYN SUZANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 303-5821
Mailing address
9616 GERST RD, PERRY HALL, MD 21128-9706
(410) 303-5821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21386
MD
Other
Enumeration date
07/14/2023
Last updated
07/17/2023
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