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Organization
LIFE DIRECTIONS, LLC
Active
Organization
LIFE DIRECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIDA LYNNE PENN PICK LCSW-C (NATIONAL CLINICAL DIRECTOR)
(301) 418-6533
Entity
Organization
Contact information
Practice address
240 S POTOMAC ST, HAGERSTOWN, MD 21740-6005
(240) 625-9180
(240) 452-3007
Mailing address
501 HIGHLAND ST, FREDERICK, MD 21701-5715
(240) 625-9180
(240) 452-3007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10379
MD
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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