Inspiring & Empowering Change, Llc | |
5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212 | |
(410) 693-2609 | |
(410) 693-2609 |
Full Name | Inspiring & Empowering Change, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 5209 York Road, Baltimore, Maryland |
Authorized Official Name and Position | Lolamae Russell (CEO) |
Authorized Official Contact | 4106932609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inspiring & Empowering Change, Llc 5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212 Ph: (410) 693-2609 | Inspiring & Empowering Change, Llc 5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212 Ph: (410) 693-2609 |
NPI Number | 1538633276 |
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Provider Enumeration Date | 01/16/2019 |
Last Update Date | 01/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538633276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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