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Organization

WELLSPRING CHARITIES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEMBI DEPASS (EXECUTIVE DIRECTOR)
(240) 495-1505
Entity
Organization

Contact information

Practice address
914 BAY RIDGE RD STE 180, ANNAPOLIS, MD 21403-3935
(240) 620-3028
Mailing address
480 MARIANNA DR, MILLERSVILLE, MD 21108-1820

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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