| Rosewater Wellness Llc | |
|
12107 Long Green Pike Glen Arm MD 21057-9200 | |
| (410) 622-2822 | |
| Not Available |
| Full Name | Rosewater Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12107 Long Green Pike, Glen Arm, Maryland |
| Authorized Official Name and Position | Tracy Diamond-cromwell (OWNER) |
| Authorized Official Contact | 4106222822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewater Wellness Llc 5306 Glen Arm Rd Glen Arm MD 21057-9301 Ph: (410) 622-2822 | Rosewater Wellness Llc 12107 Long Green Pike Glen Arm MD 21057-9200 Ph: (410) 622-2822 |
| NPI Number | 1013482900 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013482900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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