Organization
CULTIVATING UNSTOPPABLE YOU, LLC
Active
Organization
CULTIVATING UNSTOPPABLE YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARONNE RANDALL (ADMINISTRATOR)
(443) 986-1378
Entity
Organization
Contact information
Practice address
7541 PELHAM WAY, HANOVER, MD 21076-1070
(443) 986-1378
Mailing address
7541 PELHAM WAY APT SUITE, HANOVER, MD 21076-1070
(443) 986-4571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780247965
—
MD
Enumeration date
08/14/2022
Last updated
08/14/2022
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