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Organization
THE P3 PURSUIT LLC
Active
Organization
THE P3 PURSUIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MCKOY (OWNER)
(612) 889-5899
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 213, OWINGS MILLS, MD 21117-5543
(443) 898-6128
(443) 898-6199
Mailing address
110 PAINTERS MILL RD STE 213, OWINGS MILLS, MD 21117-5543
(443) 898-6128
(443) 898-6199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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