Edward L. Mislak, Llc

Clinical Social Worker · Street, MD

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At a glance

801 Chance Ct, Street, MD 21154-1648

NPPES record updated Dec 27, 2017. Public records can lag behind changes at a practice.

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Practice location

801 Chance Ct
Street, MD 21154-1648

Professional details: NPI, taxonomy & registry record

NPI1154667988

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Dec 26, 2012
Record updated: Dec 27, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 08156 MD

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

801 Chance Ct
Street, MD 21154-1648

Phone: (410) 893-7217
Fax: (410) 893-7217

Mailing address

801 CHANCE CT

STREET, MD 211541648

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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