| Gray Sea Therapy Llc | |
|
11k Gwynns Mill Court Owings Mills MD 21117 | |
| (410) 417-8427 | |
| Not Available |
| Full Name | Gray Sea Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11k Gwynns Mill Court, Owings Mills, Maryland |
| Authorized Official Name and Position | Krystal Fisher (OWNER) |
| Authorized Official Contact | 4104178427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Sea Therapy Llc 3700 Shellbrook Ct Randallstown MD 21133 Ph: (443) 409-1761 | Gray Sea Therapy Llc 11k Gwynns Mill Court Owings Mills MD 21117 Ph: (410) 417-8427 |
| NPI Number | 1992481824 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992481824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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