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General NPI Number Information
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NPI Number | 1689112864
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Entity Type | Organization
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Legal Business Name | ANNICK BARKER, LCSW-C, LLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 720 W 36TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2505
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Country | US
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Telephone | 443-961-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 342 ROSSITER AVE
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City | BALTIMORE
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State | MD
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Zip | 21212-4419
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Country | US
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Telephone | 443-961-7950
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MS. MARIE-ANNICK BARKER
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Credential | LCSW-C
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Telephone | 443-961-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12977
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License Number State | MD
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