Individual
MAIYAH ALEXIS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 N CHARLES ST STE 401, BALTIMORE, MD 21218-5061
(410) 254-6175
(410) 254-0300
Mailing address
2 ESTATES CT APT 3302, PIKESVILLE, MD 21208-6908
(240) 354-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27295
MD
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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