Individual
CAROL ELLEN UNDANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
611 S CHARLES ST FL 4, BALTIMORE, MD 21230-3801
(410) 328-2293
Mailing address
611 S CHARLES ST FL 4, BALTIMORE, MD 21230-3801
(410) 328-2293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07583
MD
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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