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Organization
NEXUS WELLNESS GROUP
Active
Organization
NEXUS WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY S VAUGHAN LCSW-C (OWNER)
(410) 382-4536
Entity
Organization
Contact information
Practice address
10220 S DOLFIELD RD STE 204, OWINGS MILLS, MD 21117-3624
Mailing address
10220 S DOLFIELD RD STE 204, OWINGS MILLS, MD 21117-3624
(410) 382-4536
(410) 655-1329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871760397
—
MD
Enumeration date
12/03/2021
Last updated
12/03/2021
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