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1487155776
FREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC
BALTIMORE, MD
NPI
1487155776
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Entity Type
Organization
Authorized Contact
DWIGHT A POLK
Owner
443-695-7851
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18559)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
FREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229-5214
Phone number: 443-695-7851
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Mailing Address
FREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229-5214
Phone number: 443-695-7851
Copy
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