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NPI Code Detail

MEDICARE: MISS ANDREA ALETHA FRANKLIN MSW, LICDC

MEDICARE: MISS ANDREA ALETHA FRANKLIN MSW, LICDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor161523OH

General Provider Information

NPI Number : 1093985632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANDREA ALETHA FRANKLIN MSW, LICDC
Provider Business Mailing Address
First Line : 122 LANGLEY ROAD NORTH
Second Line : SUITE B ANNE ARUNDEL COUNTY HEALTH DEPARTMENT
City : GLEN BURNIE
State : MD
Zip : 21060
Country : US
Telephone Number : 410-222-0100
Fax Number : 410-222-0116
Provider Business Practice Location Address
First Line : 9083 MENTOR AVE STE B
Second Line :
City : MENTOR
State : OH
Zip : 44060-6462
Country : US
Telephone Number : 440-255-0678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2008
Last Update Date : 05/15/2024

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