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Organization
PASSAGEWAYS THERAPY AND COUNSELING, LLC
Active
Organization
PASSAGEWAYS THERAPY AND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LYNN KOEPP LCSW-C (SOLE MEMBER)
(301) 514-4745
Entity
Organization
Contact information
Practice address
10 N JEFFERSON ST STE 403, FREDERICK, MD 21701-4823
(301) 514-4745
(301) 668-1854
Mailing address
10 N. JEFFERSON STREET, SUITE 403, FREDERICK, MD 21782-1702
(301) 514-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17036
MD
Other
Enumeration date
09/12/2017
Last updated
09/13/2017
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