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Organization
BREAKWATER COUNSELING, LLC
Active
Organization
BREAKWATER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA FOERSTER PUGLISI LCSW-C (CLINICAL SOCIAL WORKER/OWNER)
(410) 733-4702
Entity
Organization
Contact information
Practice address
5643 CHELWYND RD, HALETHORPE, MD 21227-3807
(410) 733-4702
Mailing address
5643 CHELWYND RD, HALETHORPE, MD 21227-3807
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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