| Sow Extra Llc | |
|
10852 Will Painter Dr Owings Mills MD 21117-5124 | |
| (443) 366-7140 | |
| Not Available |
| Full Name | Sow Extra Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10852 Will Painter Dr, Owings Mills, Maryland |
| Authorized Official Name and Position | Briana S Chandler (CLINICIAN) |
| Authorized Official Contact | 4433667140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sow Extra Llc 10852 Will Painter Dr Owings Mills MD 21117-5124 Ph: (443) 366-7140 | Sow Extra Llc 10852 Will Painter Dr Owings Mills MD 21117-5124 Ph: (443) 366-7140 |
| NPI Number | 1568263051 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568263051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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