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Organization

STATE OF WELLNESS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAELA ANN CONLEY MS, MCHES (EXECUTIVE DIRECTOR)
(410) 715-2268
Entity
Organization

Contact information

Practice address
9622 BASKET RING ROAD, COLUMBIA, MD 21045-3418
(410) 715-2268
(433) 925-9565
Mailing address
9622 BASKET RING ROAD, COLUMBIA, MD 21045-3418
(410) 715-2268
(443) 926-9565

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MD

Other

Enumeration date
12/22/2015
Last updated
12/22/2015
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