Organization
ALPHA & OMEGA HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BURTON LCSW-C (MANAGING PARTNER)
(202) 345-7099
Entity
Organization
Contact information
Practice address
1282 SMALLWOOD DR W # 162, WALDORF, MD 20603-4732
(240) 232-5554
Mailing address
1282 SMALLWOOD DR W # 162, WALDORF, MD 20603-4732
(240) 232-5554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC6985
MD
1041C0700X
Clinical Social Worker
Primary
15283
MD
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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