Jermel A. Gilliam - Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Jermel A. Gilliam

NPI Number

1043548084

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/03/2009

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

G08906

Contact
Information

Purpose

Mailing

Location

Address

2310 N CHARLES ST

2310 N CHARLES ST

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21218-5127

21218-5127

Country

US

US

Telephone Number

N/A

(410) 799-3012

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

Data last updated by provider on 12/03/2009

Provider Address

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