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Organization

PROMOTING POSITIVE CHANGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT CASHDOLLAR (BILLING MANAGER)
(443) 852-9709
Entity
Organization

Contact information

Practice address
716 GIDDINGS AVE STE 33, ANNAPOLIS, MD 21401-1419
(410) 212-2522
Mailing address
716 GIDDINGS AVE STE 33, ANNAPOLIS, MD 21401-1419
(410) 212-2522

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04246
MD

Other

Enumeration date
08/12/2015
Last updated
08/12/2015
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