Individual
MICHAEL S. MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 W PRESTON ST, BALTIMORE, MD 21201-2010
(410) 396-0783
Mailing address
507 W PRESTON ST, BALTIMORE, MD 21201-2010
(410) 396-0783
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-106417-F2N9Q0
MD
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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