Individual
ALYSSA RUTH PRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1114 BENFIELD BLVD STE G, MILLERSVILLE, MD 21108-2589
(410) 780-5203
Mailing address
1915 TOWNE CENTRE BLVD UNIT 413, ANNAPOLIS, MD 21401-3583
(201) 341-2433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23876
MD
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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