Individual
ALFRED EZEKWESILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 E CHASE ST STE 1125, BALTIMORE, MD 21202-2565
(410) 298-3431
Mailing address
1502 WOODLAWN DR STE 103, BALTIMORE, MD 21207-4022
(410) 298-3431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
200709996
MD
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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