Individual
AMANDA MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
115 E WEST ST, BALTIMORE, MD 21230-4313
(443) 515-7067
Mailing address
115 E WEST ST, BALTIMORE, MD 21230-4313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23836
MD
Other
Enumeration date
05/02/2019
Last updated
03/04/2021
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