Organization
CHILDRENS CHOICE OF MARYLAND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE RYON ALLEN LCSW-C (STATE ADMINISTRATOR)
(410) 319-9681
Entity
Organization
Contact information
Practice address
1563 POSTAL RD, CHESTER, MD 21619-2299
(410) 643-9290
(410) 643-9293
Mailing address
PO BOX 535, CHESTER, MD 21619-0535
(410) 643-9290
(410) 643-9293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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