Organization
RIPPLES OF CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA BENESCH LGPC (OWNER)
(410) 207-6687
Entity
Organization
Contact information
Practice address
11265 DOVEDALE CT, MARRIOTTSVILLE, MD 21104-1644
(410) 207-6687
Mailing address
PO BOX 220, FINKSBURG, MD 21048-0220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGP5164
MD
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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