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Organization
TRAUMA AND COMPLICATED GRIEF COUNSELING SERVICES, LLC
Active
Organization
TRAUMA AND COMPLICATED GRIEF COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA LYNN AVILES LCSW-C, MSW (OWNER/CLINICAL THERAPIST)
(240) 841-4762
Entity
Organization
Contact information
Practice address
1009 FREDERICK RD, CATONSVILLE, MD 21228-5055
(443) 841-4762
Mailing address
1336 POPLAR AVE, HALETHORPE, MD 21227-2614
(240) 841-4762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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