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Organization
PROSPERITY REDEFINED LLC
Active
Organization
PROSPERITY REDEFINED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE MICHELLE BROWN-BUSHROD LCSW-C (OWNER)
(410) 484-6070
Entity
Organization
Contact information
Practice address
3701 OLD COURT RD, SUITE 17, PIKESVILLE, MD 21208-3909
(410) 484-6070
(410) 484-3166
Mailing address
3701 OLD COURT RD, SUITE 17, PIKESVILLE, MD 21208-3909
(410) 484-6070
(410) 484-3166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09133
MD
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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