Individual
MR. KENNETH CHARLES WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSC
Contact information
Practice address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
(410) 233-5583
Mailing address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
(410) 233-5583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC1240
MD
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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