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NPI Code Detail

MEDICARE: MS. ELIZABETH MARIE KRAUS LMSW

MEDICARE: MS. ELIZABETH MARIE KRAUS LMSW
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
1104100000XSocial Worker25070MD

General Provider Information

NPI Number : 1801443288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH MARIE KRAUS LMSW
Provider Business Mailing Address
First Line : 219 S MOUNT ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21223-3036
Country : US
Telephone Number : 786-256-0003
Fax Number :
Provider Business Practice Location Address
First Line : 2700 WASHINGTON AVE
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-3115
Country : US
Telephone Number : 667-600-3987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 08/21/2019

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