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Organization
PENINSULA CONSULTING SERVICES, INC.
Active
Organization
PENINSULA CONSULTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYANTHA G RANDALL LCSW-C (OWNER)
(443) 859-8699
Entity
Organization
Contact information
Practice address
104 WILLIAMSPORT CIR, SUITE C, SALISBURY, MD 21804-6400
(443) 859-8699
(443) 859-8747
Mailing address
104 WILLIAMSPORT CIR, SUITE C, SALISBURY, MD 21804-6400
(443) 859-8699
(443) 859-8747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13117
MD
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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