| Childrens Choice Of Maryland, Inc | |
|
1563 Postal Rd Chester MD 21619-2299 | |
| (410) 643-9290 | |
| (410) 643-9293 |
| Full Name | Childrens Choice Of Maryland, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1563 Postal Rd, Chester, Maryland |
| Authorized Official Name and Position | Leslie Ryon Allen (STATE ADMINISTRATOR) |
| Authorized Official Contact | 4103199681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Choice Of Maryland, Inc Po Box 535 Chester MD 21619-0535 Ph: (410) 643-9290 | Childrens Choice Of Maryland, Inc 1563 Postal Rd Chester MD 21619-2299 Ph: (410) 643-9290 |
| NPI Number | 1245734987 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245734987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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