Healthcare Provider Details

I. General information

NPI: 1417919341
Provider Name (Legal Business Name): MARY ELIZABETH FRANCIS L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 ELKRIDGE LANDING RD STE 350
LINTHICUM MD
21090-2909
US

IV. Provider business mailing address

939 ELKRIDGE LANDING RD STE 350
LINTHICUM MD
21090-2909
US

V. Phone/Fax

Practice location:
  • Phone: 443-354-8903
  • Fax: 443-410-0643
Mailing address:
  • Phone: 443-354-8903
  • Fax: 443-410-0643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: