Individual
MR. ROBERT MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
107 EDGEWOOD RD, EDGEWOOD, MD 21040-3304
(301) 893-7574
Mailing address
1033 LAKE FRONT DRIVE, EDGEWOOD, MD 21040
(443) 554-7189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2351
MD
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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