Individual
KELSEY PELLARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
312 WYNDHURST AVE FL 2, BALTIMORE, MD 21210-2416
(336) 707-6560
Mailing address
414 WESTGATE RD, BALTIMORE, MD 21229-2341
(336) 707-6560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23241
MD
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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