Support With Compassion Family Counseling, Llc | |
1405 Singer Rd Joppa MD 21085-2112 | |
(410) 688-2138 | |
Not Available |
Full Name | Support With Compassion Family Counseling, Llc |
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Speciality | Social Worker |
Location | 1405 Singer Rd, Joppa, Maryland |
Authorized Official Name and Position | Donna Lee Withrow (OWNER) |
Authorized Official Contact | 4106882138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Support With Compassion Family Counseling, Llc 1405 Singer Rd Joppa MD 21085-2112 Ph: (410) 688-2138 | Support With Compassion Family Counseling, Llc 1405 Singer Rd Joppa MD 21085-2112 Ph: (410) 688-2138 |
NPI Number | 1144662867 |
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Provider Enumeration Date | 07/23/2013 |
Last Update Date | 12/30/2015 |
Medicare PECOS PAC ID | 7517192354 |
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Medicare Enrollment ID | O20131101000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144662867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15504 (Maryland) | Primary |
Provider Name | Donna L Withrow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457656480 PECOS PAC ID: 2769617505 Enrollment ID: I20131101000469 |
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