Individual
CASANDRA D PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
111 E MAIN ST STE B, ELKTON, MD 21921-5996
(443) 406-3234
Mailing address
136 CHERRY TREE LN, ELKTON, MD 21921-5812
(443) 741-7260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3260
MD
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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