| Light Rock Llc | |
|
2200 N Monroe St Baltimore MD 21217-1320 | |
| (443) 524-0220 | |
| Not Available |
| Full Name | Light Rock Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2200 N Monroe St, Baltimore, Maryland |
| Authorized Official Name and Position | Debbie Rock (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4435240220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Rock Llc 2200 N Monroe St Baltimore MD 21217-1320 Ph: () - | Light Rock Llc 2200 N Monroe St Baltimore MD 21217-1320 Ph: (443) 524-0220 |
| NPI Number | 1598295974 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598295974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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