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Organization
FAMILY SERVICE FOUNDATION, INC
Active
Organization
FAMILY SERVICE FOUNDATION, INC
Active
Other names
FAMILY SERVICE OF PRINCE GEORGES COUNTY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE SMITH (BILLING MANAGER)
(301) 459-2121
Entity
Organization
Contact information
Practice address
306 DELAWARE ROAD, FREDERICK, MD 21701-4618
(301) 378-0261
(301) 378-0267
Mailing address
5301 76TH AVE, LANDOVER HILLS, MD 20784-1703
(301) 459-2121
(301) 918-9757
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
4163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320741200
—
MD
Enumeration date
03/18/2010
Last updated
09/19/2012
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