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General NPI Number Information
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NPI Number | 1184930513
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Entity Type | Organization
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Legal Business Name | METRO FAMILIES ADULT-CHILDREN
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 723 E PATAPSCO AVE
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City | BALTIMORE
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State | MD
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Zip | 21225-1934
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Country | US
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Telephone | 410-355-1532
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Fax | 410-345-2696
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Provider Business Mailing Address
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Address Line | 723 E PATAPSCO AVE
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City | BALTIMORE
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State | MD
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Zip | 21225-1934
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Country | US
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Telephone | 410-355-1532
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Fax | 410-345-2696
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE TROTTER GLYNN
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Credential | MBR
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Telephone | 301-386-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC0155
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC0575
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 05440
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12894
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07593
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09850
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License Number State | MD
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