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Organization
NEW AVENUES COUNSELING LLC
Active
Organization
NEW AVENUES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTANIQUE EDMONDS BUCKLEY MSW, LCSW (OWNER)
(443) 503-4421
Entity
Organization
Contact information
Practice address
9868 SOFTWATER WAY, COLUMBIA, MD 21046-1825
(443) 583-4421
Mailing address
9868 SOFTWATER WAY, COLUMBIA, MD 21046-1825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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