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Organization

THE SAFE SPACE THERAPEUTIC SERVICES

Active
Other names
The Safe Space, Therapeutic Services
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMIA MCCALLUM LCSW-C (SOCIAL WORKER)
(410) 971-0370
Entity
Organization

Contact information

Practice address
1515 MARTIN BLVD STE 206, MIDDLE RIVER, MD 21220-4103
(410) 971-0370
Mailing address
6218 KENWOOD AVE, ROSEDALE, MD 21237-2021
(410) 971-0370

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
444592900
MD
Enumeration date
03/01/2022
Last updated
03/01/2022
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