Trico Clinical Services, Ltd | |
12705 Country Ln Waldorf MD 20601-3399 | |
(301) 862-4961 | |
(301) 862-5554 |
Full Name | Trico Clinical Services, Ltd |
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Speciality | Counselor - Mental Health |
Location | 12705 Country Ln, Waldorf, Maryland |
Authorized Official Name and Position | William E Arick (PRESIDENT) |
Authorized Official Contact | 3018624961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trico Clinical Services, Ltd Po Box 826 Lexington Park MD 20653-0826 Ph: (301) 862-4961 | Trico Clinical Services, Ltd 12705 Country Ln Waldorf MD 20601-3399 Ph: (301) 862-4961 |
NPI Number | 1710304969 |
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Provider Enumeration Date | 03/26/2014 |
Last Update Date | 03/26/2014 |
Identifier | Type | State | Issuer |
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1710304969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
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