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General NPI Number Information
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NPI Number | 1972202117
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Entity Type | Organization
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Legal Business Name | INFINITE WELLNESS MARYLAND
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1300 MERCANTILE LN STE 150
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City | LARGO
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State | MD
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Zip | 20774-5334
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Country | US
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Telephone | 443-306-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 MERCANTILE LN STE 150
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City | LARGO
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State | MD
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Zip | 20774-5334
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Country | US
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Telephone | 443-306-5678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY WALKER
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Credential | LCSWC
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Telephone | 443-306-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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