Organization
WELLSPRING THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEMBI DEPASS (PRESIDENT)
(240) 620-3028
Entity
Organization
Contact information
Practice address
9118 48TH PL, COLLEGE PARK, MD 20740-1863
(646) 358-9059
Mailing address
2805 KLEIN CT, CROFTON, MD 21114-3118
(240) 620-3028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06978
MD
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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