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Organization

CHESAPEAKE CARE RESOURCES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET KELLY (PRESIDENT)
(410) 287-5040
Entity
Organization

Contact information

Practice address
80 MARYSVILLE RD, NORTH EAST, MD 21901-2317
(410) 287-5040
Mailing address
80 MARYSVILLE RD, NORTH EAST, MD 21901-2317
(410) 287-5040
(410) 287-9511

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
103TR0400X
Rehabilitation Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000043
DE
05
00000045
DE
Enumeration date
03/31/2021
Last updated
03/31/2021
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