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Organization
STATE OF WELLNESS, INC
Active
Organization
STATE OF WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA ANN CONLEY MS, MCHES (EXECUTIVE DIRECTOR)
(410) 715-2268
Entity
Organization
Contact information
Practice address
9622 BASKET RING ROAD, COLUMBIA, MD 21045-3418
(410) 715-2268
(433) 925-9565
Mailing address
9622 BASKET RING ROAD, COLUMBIA, MD 21045-3418
(410) 715-2268
(443) 926-9565
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
MD
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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