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1679162150
SUPPORTIVE CARE OF MARYLAND LLC
BALTIMORE, MD
NPI
1679162150
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Entity Type
Organization
Authorized Contact
RAPHAEL LICHTSCHEIN
President
718-506-1115
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
SUPPORTIVE CARE OF MARYLAND LLC
2095 ROCKROSE AVE
BALTIMORE, MD 21211-1328
Phone number: 718-298-4375
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Mailing Address
SUPPORTIVE CARE OF MARYLAND LLC
27 RANDOLPH RD
HOWELL, NJ 07731-8611
Phone number: 718-298-4375
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