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1528538105
LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC
SEVERN, MD
NPI
1528538105
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Entity Type
Organization
Authorized Contact
ALICE RITA HUNLEY
CEO
410-980-3163
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC
82 JANET DALE LN
SEVERN, MD 21144
Phone number: 410-980-3163
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Mailing Address
LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC
82 JANET DALE LN
SEVERN, MD 21144
Phone number: 410-980-3163
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