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Organization
ONE SOURCE WELLNESS WORKS LLC
Active
Organization
ONE SOURCE WELLNESS WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL MANNING LCSWC (CLINICAL DIRECTOR)
(301) 252-4392
Entity
Organization
Contact information
Practice address
22 W PENNSYLVANIA AVE STE 410, TOWSON, MD 21204-5017
(478) 397-9624
Mailing address
22 W PENNSYLVANIA AVE STE 410, TOWSON, MD 21204-5017
(478) 397-9624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730415498
—
MD
Enumeration date
04/11/2022
Last updated
04/11/2022
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