Individual provider · NPI-1

Kidane Abraham

Social Worker, Clinical · Baltimore, MD

NPI number1306118450
StatusActive
Last updated in NPPESFeb 6, 2012

Details

NPI
1306118450
Entity type
Individual (NPI-1)
Name
Kidane Abraham
Sex
Male
Sole proprietor
No
Enumeration date
Feb 6, 2012
Last updated
Feb 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical11209MDYes

Practice location

3 S. Frederick Street
Baltimore, MD 21202-4304

Phone 410-327-6503 · Fax 410-327-6825

Mailing address

3 S. Frederick Street
Baltimore, MD 21202-4304

Phone 410-327-6503 · Fax 410-327-6825

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Baltimore, MD