Organization
ENRICHMENT ENDEAVORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DACUNHA LCSW-C (DIRECTOR)
(443) 750-3477
Entity
Organization
Contact information
Practice address
100 WEST RD, TOWSON, MD 21204-2331
(443) 750-3477
Mailing address
9114 OLD HARFORD RD, PARKVILLE, MD 21234-2659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15603
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750897088
—
MD
Enumeration date
01/09/2018
Last updated
01/09/2018
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