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Organization
SERENITY AND SAGE COUNSELING, LLC
Active
Organization
SERENITY AND SAGE COUNSELING, LLC
Active
Other names
Keisha Broyles
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA BROYLES (CLINICAL THERAPIST)
(443) 267-7775
Entity
Organization
Contact information
Practice address
3739 WILKENS AVE, BALTIMORE, MD 21229-5035
(443) 267-7775
Mailing address
3739 WILKENS AVE, BALTIMORE, MD 21229-5035
(443) 267-7775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689806929
NPI
MD
Enumeration date
05/17/2021
Last updated
05/17/2021
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