Organization
ISLAND OF LIFE & WELLNESS COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MILLER LCSW-C (OWNER/DIRECTOR)
(410) 000-0000
Entity
Organization
Contact information
Practice address
8441 BELAIR RD, SUITE 101, BALTIMORE, MD 21236-3025
(410) 000-0000
Mailing address
8441 BELAIR RD, SUITE 101, BALTIMORE, MD 21236-3025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17348
MD
Other
Enumeration date
10/22/2013
Last updated
02/01/2014
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