MR. Edward Leo Mislak, MSW LCSWC CACAD

NPI #1922144203 in Street, Maryland

Provider Information

NPI Number: 1922144203
Entity Type: Individual
Name: MR. Edward Leo Mislak, MSW LCSWC CACAD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW LCSWC CACAD
Enumeration Date: Jan 30, 2007
Last Updated: Dec 27, 2017

Practice Location

Address: 801 CHANCE CT
City: Street
State: Maryland
ZIP Code: 21154-1648
Phone: (410) 893-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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