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Organization
LIBERTY MEDICAL SERVICES, LLC
Active
Organization
LIBERTY MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA L EDWARDS MSW, LGSW (EXECUTIVE)
(410) 491-5066
Entity
Organization
Contact information
Practice address
8308 LIBERTY RD, BALTIMORE, MD 21244-3124
(410) 491-5066
Mailing address
9919 HOYT CIR, RANDALLSTOWN, MD 21133-1603
(410) 491-5066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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