Individual
ELIZABETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
5710 RITCHIE HWY, BROOKLYN PARK, MD 21225-3641
(410) 636-5600
Mailing address
5710 RITCHIE HWY, BROOKLYN PARK, MD 21225-3641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1378
MD
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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