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Organization
THE VINE CHRISTIAN COUNSELING, LLC
Active
Organization
THE VINE CHRISTIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMERA IRELAND OLSON LCSW-C (PRESIDENT)
(410) 610-6602
Entity
Organization
Contact information
Practice address
995 PRINCE FREDERICK BLVD, SUITE 209, PRINCE FREDERICK, MD 20678-3198
(410) 610-6602
Mailing address
995 PRINCE FREDERICK BLVD STE 209, PRINCE FREDERICK, MD 20678-5101
(410) 610-6602
(410) 535-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14382
MD
Other
Enumeration date
01/20/2009
Last updated
01/03/2011
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