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Organization
SEVERIN GREEN BEHAVIORAL HEALTH, LLC
Active
Organization
SEVERIN GREEN BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE FULTZ (FOUNDING MEMBER)
(443) 632-6520
Entity
Organization
Contact information
Practice address
6701 QUEENS FERRY RD, BALTIMORE, MD 21239-1429
(443) 743-2280
Mailing address
6701 QUEENS FERRY RD, BALTIMORE, MD 21239-1429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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