Individual
EMILY E PAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
18008 BLISS DR, POOLESVILLE, MD 20837-2401
(301) 793-9915
Mailing address
18008 BLISS DR, POOLESVILLE, MD 20837-2401
(301) 793-9915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
24837
MD
1041C0700X
Clinical Social Worker
Primary
24837
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889066800
—
MD
Enumeration date
06/03/2019
Last updated
08/20/2021
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