Most Relevant Information
Provider Data
| NPI Number: | 1003680505 |
| Provider Name: | BAOYIA CHALSEA KONG LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | 30883 |
Most Important Dates
| Enumeration Date: | 11/14/2023 |
| Last Updated: | 11/14/2023 |
Provider Practice Location
1741 ASHLAND AVE
BALTIMORE
MD
212051531
Practice Location Phone/Fax
| Phone: | 4439231871 |
| Fax: |
Provider Mailing Location
707 N BROADWAY
BALTIMORE
MD
212051888
Provider Mailing Phone/Fax
| Phone: | 4439231870 |
| Fax: |