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Organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Active
Organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Active
Parent organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LL
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN SHORE PSYCHOLOGICAL SERVICES, LL
Authorized official
MARY KATHRYN SEIFERT PH.D. (EXECUTIVE CEO)
(410) 334-6961
Entity
Organization
Contact information
Practice address
11559 SOMERSET AVE, PRINCESS ANNE, MD 21853-1067
(410) 334-6961
(410) 334-6362
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
07/31/2012
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