Provider First Line Business Practice Location Address:
3901 GREENSPRING AVE
Provider Second Line Business Practice Location Address:
PSYCHIATRY MAIL ROOM, KENNEDY KRIEGER INSTITUTE
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21211-1353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
433-923-7793
Provider Business Practice Location Address Fax Number:
433-923-7805
Provider Enumeration Date:
05/04/2007