Organization
KRISTEN KREIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KREIDER LCSW-C (CLINICAL SOCIAL WORKER)
(410) 474-8993
Entity
Organization
Contact information
Practice address
501 KENILWORTH DR APT T3, TOWSON, MD 21204-3876
(410) 474-8993
Mailing address
501 KENILWORTH DR APT T3, TOWSON, MD 21204-3876
(410) 474-8993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548716947
—
MD
Enumeration date
04/10/2021
Last updated
04/10/2021
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