Organization
MARYLAND CENTER FOR GENDER & INTIMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE MACSHANE LCSW-C (PSYCHOTHERAPIST & CLINICAL DIRECTOR)
(301) 360-4349
Entity
Organization
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 360-4349
Mailing address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 360-4349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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