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Organization
PERSONALIZED THERAPY, LLC
Active
Organization
PERSONALIZED THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANN LOHWATER (OWNER)
(301) 862-2505
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 1010, WALDORF, MD 20602-3228
(301) 862-2505
(301) 862-2548
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
(301) 862-2548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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