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Organization
EXCELLIS CONSULTING AND CLINICAL SERVICES, LLC
Active
Organization
EXCELLIS CONSULTING AND CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK MALONE PSY.D. (CEO)
(240) 547-9462
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 310, COLUMBIA, MD 21044-3273
(240) 547-9462
Mailing address
315 LAUREL AVE, LAUREL, MD 20707-4319
(240) 547-9462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC2181
MD
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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