Individual
RYAN ELLIOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Mailing address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212150600
—
MD
Enumeration date
11/17/2008
Last updated
11/17/2008
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