Individual
SHOSHANA ZUCKERBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3930
(410) 843-7352
Mailing address
5750 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3930
(410) 843-7352
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16748
MD
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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