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Organization
SAN MAR CHILDREN'S HOME
Active
Organization
SAN MAR CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERICA MARIA WASHINGTON (DEPUTY EXECUTIVE DIRECTOR)
(301) 733-9067
Entity
Organization
Contact information
Practice address
8504 MAPLEVILLE ROAD, BOONSBORO, MD 21713
(301) 733-9067
Mailing address
8504 MAPLEVILLE ROAD, BOONSBORO, MD 21713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/04/2016
Last updated
11/14/2024
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