MEDICARE: KAREN PEAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	19509	MD

General Provider Information

NPI Number	:	1205259454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN PEAR

Provider Business Mailing Address
First Line	:	3420 LUDGATE RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-3744
Country	:	US
Telephone Number	:	443-794-9760
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CHURCH LN
Second Line	:	STE 16
City	:	BALTIMORE
State	:	MD
Zip	:	21208-3717
Country	:	US
Telephone Number	:	443-794-9760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2014
Last Update Date	:	07/27/2016

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Directions to “ KAREN PEAR ” Practice Location

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