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Organization
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Active
Organization
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI POWELL (DIRECTOR OF OPERATIONS)
(443) 701-9295
Entity
Organization
Contact information
Practice address
1704 BACK ACRE CIR, MOUNT AIRY, MD 21771-7768
(301) 703-8767
Mailing address
2702 BACK ACRE CIR # 290B, MOUNT AIRY, MD 21771-7769
(301) 703-8767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
03/11/2021
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