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Individual

SOONOK SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2301 LIBERTY HEIGHTS AVE, SUITE 306, BALTIMORE, MD 21215-8019
(410) 462-3532
Mailing address
29466 PINTAIL DR, SUITE 9, EASTON, MD 21601-9323
(410) 770-5140
(410) 770-5141

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R057717
MD

Other

Enumeration date
09/29/2005
Last updated
09/10/2007
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