Individual
MR. SUBRAMONIANPILLAI TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
5026 CAMPBELL BLVD STE H, NOTTINGHAM, MD 21236-5051
(443) 983-4652
(410) 780-2694
Mailing address
5026 CAMPBELL BLVD STE H, NOTTINGHAM, MD 21236-5051
(443) 983-4652
(410) 780-2694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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