Kenneth Sharoff, Phd Inc. | |
1 Cross Creek Ct Phoenix MD 21131-1000 | |
(410) 771-4070 | |
(410) 583-0012 |
Full Name | Kenneth Sharoff, Phd Inc. |
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Speciality | Social Worker - Clinical |
Location | 1 Cross Creek Ct, Phoenix, Maryland |
Authorized Official Name and Position | Kenneth Barry Sharoff (OWNER) |
Authorized Official Contact | 4107714070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth Sharoff, Phd Inc. 1 Cross Creek Ct Phoenix MD 21131-1000 Ph: (410) 771-4070 | Kenneth Sharoff, Phd Inc. 1 Cross Creek Ct Phoenix MD 21131-1000 Ph: (410) 771-4070 |
NPI Number | 1932493616 |
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Provider Enumeration Date | 05/31/2011 |
Last Update Date | 05/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932493616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Maryland) | Primary |
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