| David Avruch, Lcsw-c | |
|
3600 Roland Ave Ste 4 Baltimore MD 21211-2437 | |
| (443) 272-5932 | |
| Not Available |
| Full Name | David Avruch, Lcsw-c |
|---|---|
| Speciality | Social Worker |
| Location | 3600 Roland Ave Ste 4, Baltimore, Maryland |
| Authorized Official Name and Position | David Avruch (OWNER) |
| Authorized Official Contact | 4432725932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Avruch, Lcsw-c 2009 Druid Park Dr Baltimore MD 21211-1411 Ph: () - | David Avruch, Lcsw-c 3600 Roland Ave Ste 4 Baltimore MD 21211-2437 Ph: (443) 272-5932 |
| NPI Number | 1619446291 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Medicare PECOS PAC ID | 4688910557 |
|---|---|
| Medicare Enrollment ID | O20190114002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619446291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David O Avruch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184957466 PECOS PAC ID: 8123388568 Enrollment ID: I20180205000891 |
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