Organization
HEALING SOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MILES DAVIS LCSW (PRESIDENT)
(301) 503-5696
Entity
Organization
Contact information
Practice address
7007 PLYMOUTH RD, PIKESVILLE, MD 21208-6023
(301) 503-5696
Mailing address
7007 PLYMOUTH RD, PIKESVILLE, MD 21208-6023
(301) 503-5696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14803
MD
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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