| Destilee Health Care | |
|
9006 Liberty Rd Suite 2 Randallstown MD 21133-3931 | |
| (410) 496-5444 | |
| (443) 303-4320 |
| Full Name | Destilee Health Care |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9006 Liberty Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Vanessa Chappell-lee (DIRECTOR) |
| Authorized Official Contact | 4104965444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destilee Health Care 9006 Liberty Rd Suite 2 Randallstown MD 21133-3931 Ph: (410) 496-5444 | Destilee Health Care 9006 Liberty Rd Suite 2 Randallstown MD 21133-3931 Ph: (410) 496-5444 |
| NPI Number | 1457582900 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457582900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11897 (Maryland) | Primary |
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