| Glenwood Life Counseling Center | |
|
516 Glenwood Ave Baltimore MD 21212-4230 | |
| (410) 323-9811 | |
| (410) 323-3862 |
| Full Name | Glenwood Life Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 516 Glenwood Ave, Baltimore, Maryland |
| Authorized Official Name and Position | George G Lincoln (ADMINISTRATOR) |
| Authorized Official Contact | 4103239811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Life Counseling Center 516 Glenwood Ave Baltimore MD 21212-4230 Ph: (410) 323-9811 | Glenwood Life Counseling Center 516 Glenwood Ave Baltimore MD 21212-4230 Ph: (410) 323-9811 |
| NPI Number | 1427345511 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427345511 | NPI | - | NPPES |
| 750251600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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