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Organization
SETON MEDICAL GROUP, INC
Active
Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
AMG Mental Health Wilkens
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
JOSEPH WILLIAM COOK M.D. (PRESIDENT)
(667) 234-2100
Entity
Organization
Contact information
Practice address
3449 WILKENS AVE STE 300, BALTIMORE, MD 21229-5218
(410) 747-4080
(410) 747-4508
Mailing address
3449 WILKENS AVE STE 300, BALTIMORE, MD 21229-5218
(410) 747-4080
(410) 747-4508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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