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Organization
SOUTHERN MARYLAND COUNSELING & COACHING, LLC
Active
Organization
SOUTHERN MARYLAND COUNSELING & COACHING, LLC
Active
Other names
True Blue Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVIDRA T BAZEMORE-BLUE LCSW-C (OWNER/CLINICAL DIRECTOR)
(202) 997-6060
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 435-4708
Mailing address
16705 ROLLING TREE RD, ACCOKEEK, MD 20607-3358
(202) 997-6060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
19114
MD
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
06/09/2023
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