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Organization
MEDUSA COOPERATIVE, LLC
Active
Organization
MEDUSA COOPERATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLING BUTLER HATHCOCK LCSW-C (PART OWNER)
(252) 263-8415
Entity
Organization
Contact information
Practice address
308 W PATRICK ST STE 2, FREDERICK, MD 21701-4889
(252) 263-8415
Mailing address
500 W C ST, BRUNSWICK, MD 21716-1015
(252) 263-8415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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