Delores A. Mack LGSW - Social Worker in Baltimore, Maryland | ProviderWire

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Social Worker
Maryland
Baltimore
Delores A. Mack LGSW

Full Name

Delores Ann Mack LGSW

NPI Number

1023218997

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/19/2007

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

G12521

Contact
Information

Purpose

Mailing

Location

Address

31 TALLOW CT

5602 BALTIMORE NATIONAL PIKE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21244-2518

21228-1411

Country

US

US

Telephone Number

N/A

(410) 744-9100

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

Data last updated by provider on 07/19/2007

Provider Address

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