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Organization

HOWARD COUNTY PUBLIC SCHOOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN JEAN DODGE (TPB PROGRAM HEAD FOR MEDICAID)
(410) 313-5361
Entity
Organization

Contact information

Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-5361
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-5361

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526000968
MD
Enumeration date
11/26/2018
Last updated
11/26/2018
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