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Organization
LUTHERAN MISSION SOCIETY OF MARYLAND
Active
Organization
LUTHERAN MISSION SOCIETY OF MARYLAND
Active
Other names
Compassionate Grace Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GRIEPENTROG MSW LCSW-C (PROGRAM DIRECTOR)
(410) 636-0123
Entity
Organization
Contact information
Practice address
601 HAMMONDS LN, BALTIMORE, MD 21225-3330
(410) 636-0123
(410) 636-6984
Mailing address
601 HAMMONDS LN, BALTIMORE, MD 21225-3330
(410) 636-0123
(410) 636-6984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600782589
MAGELLAN
MD
01
—
815091
VALUE OPTIONS
MD
01
—
AV09
BCBS CAREFIRST OF MD
MD
Enumeration date
08/14/2012
Last updated
01/20/2015
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