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Organization

YOUR DIVINE JOURNEY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIDGET BUTTS LCSW-C (CLINICAL SOCIAL WORKER/FOUNDER)
(443) 733-4904
Entity
Organization

Contact information

Practice address
9655 BALTIMORE AVE, LAUREL, MD 20723-1863
(443) 733-4904
(443) 464-1148
Mailing address
109 SCHOOLHOUSE LN, WINDSOR, PA 17366-9611
(443) 733-4904
(443) 464-1148

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/25/2022
Last updated
12/31/2024
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