Most Relevant Information
Provider Data
| NPI Number: | 1003453630 |
| Provider Name: | MAHTA LAGHAIE LCSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 20967 |
Most Important Dates
| Enumeration Date: | 12/02/2019 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
6501 N CHARLES ST RM D225
BALTIMORE
MD
212046819
Practice Location Phone/Fax
| Phone: | 4109383000 |
| Fax: | 4109385131 |
Provider Mailing Location
6501 N CHARLES ST RM D225
BALTIMORE
MD
212046819
Provider Mailing Phone/Fax
| Phone: | 4109383000 |
| Fax: | 4109385131 |