Female

Grace E. Park MSW, LGSW

Social Worker in Baltimore, MD(View on Map)

Full Name

Grace Eunhae Park MSW, LGSW

NPI Number

1053697334

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/31/2011

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

G12925

Contact
Information

Purpose

Mailing
Location

Address

2300 GARRISON BLVD
2300 GARRISON BLVD

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21216
21216

Country

US
US

Telephone Number

(410) 233-6200
(410) 233-6200

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

Data last updated by provider on 01/25/2013

Provider Address

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