Individual
TERRY JANE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 W 7TH ST, FREDERICK, MD 21701-4689
(301) 674-5299
Mailing address
27 W 7TH ST, FREDERICK, MD 21701-4689
(301) 674-5299
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
261QR0405X
MD
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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