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Organization
THE SAFE SPACE THERAPEUTIC SERVICES
Active
Organization
THE SAFE SPACE THERAPEUTIC SERVICES
Active
Other names
The Safe Space, Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIA MCCALLUM LCSW-C (SOCIAL WORKER)
(410) 971-0370
Entity
Organization
Contact information
Practice address
1515 MARTIN BLVD STE 206, MIDDLE RIVER, MD 21220-4103
(410) 971-0370
Mailing address
6218 KENWOOD AVE, ROSEDALE, MD 21237-2021
(410) 971-0370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444592900
—
MD
Enumeration date
03/01/2022
Last updated
03/01/2022
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