| Roberto Huie Jr. Enterprises, Llc | |
|
5300 Dorsey Hall Dr Suie 203 Ellicott City MD 21042-7791 | |
| (410) 265-5130 | |
| (410) 265-6808 |
| Full Name | Roberto Huie Jr. Enterprises, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5300 Dorsey Hall Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Roberto Jose Huie (PRESIDENT) |
| Authorized Official Contact | 4102655130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Huie Jr. Enterprises, Llc 7946 Galloping Cir Windsor Mill MD 21244-1279 Ph: (410) 265-5130 | Roberto Huie Jr. Enterprises, Llc 5300 Dorsey Hall Dr Suie 203 Ellicott City MD 21042-7791 Ph: (410) 265-5130 |
| NPI Number | 1194192161 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 08/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194192161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08138 (Maryland) | Primary |
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