Corozon Center

NPI 1114345352 - Social Worker - 1041C0700X

NPI Details
NPI 1114345352
Enumeration Date 04/04/2014
Last Updated 04/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WILHELMENA VICTORIA WILHELMENA
Position LICENSED CLINICAL SOCIAL WORKER
Phone (410) 790-4833
Fax
Practice Location
1344 W 41ST ST
BALTIMORE MD, 21211-1549, US
Phone (410) 790-4833
Fax
Business Location
1344 W 41ST ST
BALTIMORE MD, 21211-1549, US
Phone (410) 790-4833
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 10361
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According to our database, Corozon Center NPI is 1114345352, taxonomy code is 1041C0700X and license number is 10361, license state is located at Maryland. Corozon Center physically located at 1344 W 41st St, Baltimore MD, 21211-1549. NPI Number 1033115704 has the healthcare provider type.

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1114345352 NPI number is provided on an as is basis without warranty of any kind. 1114345352 is maintained by the National Plan & Provider Enumeration System. The contents of Corozon Center are for informational purposes only.