| The Family Garden Llc | |
|
6528 Ballymore Ln Clarksville MD 21029-1292 | |
| (443) 212-8125 | |
| Not Available |
| Full Name | The Family Garden Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6528 Ballymore Ln, Clarksville, Maryland |
| Authorized Official Name and Position | Becky M Fischbein (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4432128125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Garden Llc 6528 Ballymore Ln Clarksville MD 21029-1292 Ph: (443) 212-8125 | The Family Garden Llc 6528 Ballymore Ln Clarksville MD 21029-1292 Ph: (443) 212-8125 |
| NPI Number | 1053748996 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053748996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09947 (Maryland) | Primary |
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