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Individual

IDA L WALSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3272 RIVA RD, RIVA, MD 21140-1110
(410) 956-0346
Mailing address
PO BOX 146, RIVA, MD 21140-0146
(410) 956-0346

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AC0656
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC0656
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
02/10/2021
Last updated
02/10/2021
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