Male or Other

Avante Kendrick LMSW

Social Worker in Baltimore, MD(View on Map)

Full Name

Avante Kendrick LMSW

NPI Number

1205685823

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/15/2024

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

30139

Contact
Information

Purpose

Mailing
Location

Address

1927 S 9TH ST
703 DALE AVE

City

Saint Louis
Baltimore

State

MO
MD

Postal Code

63104-3931
21206-1308

Country

US
US

Telephone Number

(443) 882-0585
(201) 920-6787

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2024

Provider Address

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