Organization
CHESAPEAKE WELLNESS LLC
Active
Organization
CHESAPEAKE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A KOCH LCSW-C (OWNER)
(410) 830-9436
Entity
Organization
Contact information
Practice address
4502 SCHENLEY RD, BALTIMORE, MD 21210-2524
(410) 830-9436
Mailing address
2708 VALLEY PARK DR, BALTIMORE, MD 21209-5235
(410) 830-9436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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