Organization
MARIO CONLIFFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO CONLIFFE MS (THERAPIST)
(240) 319-3917
Entity
Organization
Contact information
Practice address
1425 LIBERTY RD, SUITE 206, ELDERSBURG, MD 21784-6420
(240) 319-3917
Mailing address
4470 WOODSMAN DR, 731, HAMPSTEAD, MD 21074-3127
(240) 319-3917
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGP6839
MD
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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