| Willow Tree Therapeutics, Llc. | |
|
45 S Main St Boonsboro MD 21713 | |
| (301) 676-7995 | |
| Not Available |
| Full Name | Willow Tree Therapeutics, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 S Main St, Boonsboro, Maryland |
| Authorized Official Name and Position | Amanda Garner (OWNER) |
| Authorized Official Contact | 3016767995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Therapeutics, Llc. 495 Sagner Ave Frederick MD 21701-5719 Ph: (301) 676-7995 | Willow Tree Therapeutics, Llc. 45 S Main St Boonsboro MD 21713 Ph: (301) 676-7995 |
| NPI Number | 1437929049 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437929049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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