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Organization

AYEPLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDETTE SHANNON LCSW-C (EXECUTIVE DIRECTOR)
(959) 203-9900
Entity
Organization

Contact information

Practice address
4600 POWDER MILL RD STE 450, BELTSVILLE, MD 20705-2686
(959) 203-9900
Mailing address
4600 POWDER MILL RD STE 450, BELTSVILLE, MD 20705-2686
(959) 203-9900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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