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Organization
PERISSOS THERAPY LLC
Active
Organization
PERISSOS THERAPY LLC
Active
Other names
Perissos Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KENT (OWNER)
(410) 709-8437
Entity
Organization
Contact information
Practice address
28 E SUSQUEHANNA AVE STE 205, TOWSON, MD 21286-5218
(410) 709-8437
Mailing address
28 E SUSQUEHANNA AVE STE 205, TOWSON, MD 21286-5218
(410) 709-8437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE02
BCBS CAREFIRST MARYLAND
MD
Enumeration date
04/19/2019
Last updated
06/11/2019
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