Basic Information
| Provider Information | |||||||||
| NPI: | 1316150667 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGUIRE | ||||||||
| FirstName: | MAUREEN | ||||||||
| MiddleName: | THERESA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 WYNDHURST AVENUE. | ||||||||
| Address2: | SUITE 300-E | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4133419161 | ||||||||
| FaxNumber: | 4109383410 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 WYNDHURST AVENUE. | ||||||||
| Address2: | SUITE 300-E | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4133419161 | ||||||||
| FaxNumber: | 4109383410 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 11/21/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 09824 | MD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.