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Organization

AMOROUS THERAPEUTIC WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER DALE MITCHELL JR. (COO)
(301) 284-0774
Entity
Organization

Contact information

Practice address
308 W PATRICK ST, FREDERICK, MD 21701-4889
(301) 284-0774
Mailing address
4942 TALL OAKS DR, MONROVIA, MD 21770-9316
(202) 236-4760

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/15/2024
Last updated
01/29/2025
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