| For All Seasons, Inc | |
|
141 Log Canoe Cir Stevensville MD 21666-2127 | |
| (410) 822-1018 | |
| (443) 249-3237 |
| Full Name | For All Seasons, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 141 Log Canoe Cir, Stevensville, Maryland |
| Authorized Official Name and Position | Beth Anne J Dorman (CEO PRESIDENT) |
| Authorized Official Contact | 4108221018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For All Seasons, Inc 300 Talbot St Easton MD 21601-3525 Ph: (410) 822-1018 | For All Seasons, Inc 141 Log Canoe Cir Stevensville MD 21666-2127 Ph: (410) 822-1018 |
| NPI Number | 1629185863 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629185863 | NPI | - | NPPES |
| 367255700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Maryland) | Primary |
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