Most Relevant Information
Provider Data
| NPI Number: | 1003379140 |
| Provider Name: | MELONIE CLARKE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 22807 |
Most Important Dates
| Enumeration Date: | 04/06/2019 |
| Last Updated: | 01/27/2022 |
Provider Practice Location
36 S CHARLES ST
BALTIMORE
MD
212013020
Practice Location Phone/Fax
| Phone: | 4108073380 |
| Fax: |
Provider Mailing Location
36 S CHARLES ST STE 203
BALTIMORE
MD
212013121
Provider Mailing Phone/Fax
| Phone: | 4436757295 |
| Fax: |