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1679390835
LIFE SPAN GROUP LLC
BALTIMORE, MD
NPI
1679390835
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Entity Type
Organization
Authorized Contact
LATASHA ROLES
CEO
443-208-6156
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
LIFE SPAN GROUP LLC
23 PIERSIDE DR APT 237
BALTIMORE, MD 21230-5476
Phone number: 443-208-6156
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Mailing Address
LIFE SPAN GROUP LLC
23 PIERSIDE DR APT 237
BALTIMORE, MD 21230-5476
Phone number: 443-208-6156
Copy
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