Most Relevant Information
Provider Data
| NPI Number: | 1003381716 |
| Provider Name: | KATHRYN PETRARCA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 16556 |
Most Important Dates
| Enumeration Date: | 10/09/2018 |
| Last Updated: | 10/09/2018 |
Provider Practice Location
416 E 30TH ST
BALTIMORE
MD
212183934
Practice Location Phone/Fax
| Phone: | 4108890727 |
| Fax: | 4108890729 |
Provider Mailing Location
416 E 30TH ST
BALTIMORE
MD
212183934
Provider Mailing Phone/Fax
| Phone: | 4108890727 |
| Fax: | 4108890729 |