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Organization
LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Active
Organization
LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Active
Parent organization
LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Authorized official
JAMIE LEE REIDY (OWNER)
(301) 643-8127
Entity
Organization
Contact information
Practice address
103 CENTENNIAL ST STE C, LA PLATA, MD 20646-5985
(301) 934-9111
Mailing address
103 CENTENNIAL ST STE C, LA PLATA, MD 20646-5985
(301) 934-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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