| Brantwood Fs Llc | |
|
1190 Augustine Herman Hwy Elkton MD 21921-8251 | |
| (443) 655-5116 | |
| Not Available |
| Full Name | Brantwood Fs Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1190 Augustine Herman Hwy, Elkton, Maryland |
| Authorized Official Name and Position | Mary Gamble (DIRECTOR) |
| Authorized Official Contact | 4103980651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brantwood Fs Llc 1190 Augustine Herman Hwy Elkton MD 21921-8251 Ph: (410) 398-0651 | Brantwood Fs Llc 1190 Augustine Herman Hwy Elkton MD 21921-8251 Ph: (443) 655-5116 |
| NPI Number | 1033774989 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033774989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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