Provider Information for 1922839471
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PHILIP B POLLOCK LCSW-C
Sex: Male
NPI: 1922839471
Last Updated: 2024-08-07
Certification Date: 2024-08-07
Certification Date: 2024-08-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922839471 | ||||||||
| Enumeration Date | 2024-08-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 210 S EAST AVE BALTIMORE, MD 21224-2205 United States Phone: 315-552-8753 | Fax: | ||||||||
| Primary Practice Address | 210 S EAST AVE BALTIMORE, MD 21224-2205 United States Phone: 315-552-8753 | Fax: | ||||||||
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