Nikki C. Klock LGSW - Social Worker in Baltimore, Maryland | ProviderWire

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Social Worker
Maryland
Baltimore
Nikki C. Klock LGSW

Full Name

Nikki Cheeran Klock LGSW

NPI Number

1124542477

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/28/2017

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

23005

Contact
Information

Purpose

Mailing

Location

Address

421 FALLSWAY

421 FALLSWAY

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21202-4800

21202-4800

Country

US

US

Telephone Number

(410) 837-5533

(410) 837-5533

Identifiers

Identifier

383841200

Identifier State

MD

Identifier Issuer

Unknown

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

Data last updated by provider on 07/21/2022

Provider Address

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