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Organization
MILLENNIUM BEHAVIORAL HEALTH CONSULTING LLC
Active
Organization
MILLENNIUM BEHAVIORAL HEALTH CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RUPERT LCSW-C (0WNER/CONSULTANT)
(443) 889-0056
Entity
Organization
Contact information
Practice address
3709 RAVENWOOD AVE, BALTIMORE, MD 21213-2021
(443) 889-0056
Mailing address
3709 RAVENWOOD AVE, BALTIMORE, MD 21213-2021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052495576
—
MD
Enumeration date
07/17/2022
Last updated
07/17/2022
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