Individual
JUSTIN GABRIEL TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
4601 EBENEZER RD, NOTTINGHAM, MD 21236-1906
(410) 887-5108
Mailing address
3309 WHITESWORTH RD, PHOENIX, MD 21131-1401
(443) 801-2108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19710
MD
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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