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General NPI Number Information
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NPI Number | 1245421916
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Entity Type | Organization
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Legal Business Name | FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 7 SCHOOL HOUSE AVE.
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 410-848-2433
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Fax | 410-840-0574
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Provider Business Mailing Address
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Address Line | 4623 FALLS RD.
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City | BALTIMORE
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State | MD
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Zip | 21209-4914
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Country | US
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Telephone | 410-366-1980
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Fax | 410-366-8530
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CHERYL LODOTA
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Credential | LCSW-C
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Telephone | 410-366-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 17393
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License Number State | MD
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