Shore Resolutions Llc | |
211 High St. Cambridge MD 21613-1816 | |
(410) 228-4357 | |
Not Available |
Full Name | Shore Resolutions Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 211 High St., Cambridge, Maryland |
Authorized Official Name and Position | Lisa Ann Brenner (OWNER/ THERAPIST) |
Authorized Official Contact | 4102284357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shore Resolutions Llc 211 High St. Cambridge MD 21613-1816 Ph: (410) 228-4357 | Shore Resolutions Llc 211 High St. Cambridge MD 21613-1816 Ph: (410) 228-4357 |
NPI Number | 1982906186 |
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Provider Enumeration Date | 11/22/2010 |
Last Update Date | 12/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982906186 | NPI | - | NPPES |
033870200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 14584 (Maryland) | Primary |
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