Life Purpose Wellness Center, Llc | |
10905 Fort Washington Rd Suite 400a Fort Washington MD 20744-5843 | |
(301) 485-1532 | |
(301) 485-1534 |
Full Name | Life Purpose Wellness Center, Llc |
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Speciality | Social Worker - Clinical |
Location | 10905 Fort Washington Rd, Fort Washington, Maryland |
Authorized Official Name and Position | Melissa Louise Brown (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3014851532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Purpose Wellness Center, Llc 10905 Fort Washington Rd Suite 400a Fort Washington MD 20744-5843 Ph: (301) 485-1532 | Life Purpose Wellness Center, Llc 10905 Fort Washington Rd Suite 400a Fort Washington MD 20744-5843 Ph: (301) 485-1532 |
NPI Number | 1174860720 |
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Provider Enumeration Date | 01/15/2013 |
Last Update Date | 01/15/2013 |
Identifier | Type | State | Issuer |
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1174860720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10981 (Maryland) | Primary |
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