Provider Information for 1396030367
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Ms. TORRI LYNN MILLS RAIKES LCSW-C
Other Names:Other Name:Ms. TORRI LYNN MILLS-RAIKES LCSW-CSex: Female
NPI: 1396030367
Last Updated: 2024-11-18
Certification Date: 2024-11-18
Certification Date: 2024-11-18
Details
| Name | Value | ||||||||
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| NPI | 1396030367 | ||||||||
| Enumeration Date | 2011-06-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1506 BURNWOOD RD BALTIMORE, MD 21239-3538 United States Phone: 443-891-4509 | Fax: | ||||||||
| Primary Practice Address | 1900 E NORTHERN PKWY STE 305A BALTIMORE, MD 21239-2111 United States Phone: 443-794-1094 | Fax: | ||||||||
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