| Corsica Family Therapy, Llc | |
|
205 E Water St Suite C Centreville MD 21617-1155 | |
| (410) 490-9742 | |
| Not Available |
| Full Name | Corsica Family Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 205 E Water St, Centreville, Maryland |
| Authorized Official Name and Position | Rebecca Ann Cook (PRESIDENT/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 4104909742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corsica Family Therapy, Llc Po Box 511 Centreville MD 21617-0511 Ph: (410) 490-9742 | Corsica Family Therapy, Llc 205 E Water St Suite C Centreville MD 21617-1155 Ph: (410) 490-9742 |
| NPI Number | 1033409289 |
|---|---|
| Provider Enumeration Date | 04/08/2011 |
| Last Update Date | 04/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033409289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13638 (Maryland) | Primary |
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