| Cys | |
|
3810 Spring Meadow Dr Ellicott City MD 21042-5140 | |
| (410) 303-2641 | |
| Not Available |
| Full Name | Cys |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3810 Spring Meadow Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Deneen Theresa Wysocki (DIRECTOR) |
| Authorized Official Contact | 4103032641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Po Box 1605 Ellicott City MD 21041-1605 Ph: (410) 303-2641 | Cys 3810 Spring Meadow Dr Ellicott City MD 21042-5140 Ph: (410) 303-2641 |
| NPI Number | 1679529226 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679529226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06753 (Maryland) | Primary |
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