Organization
WAVERLY CENTER FOR PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R WOODARD LCPC (PRINCIPAL MEMBER)
(301) 417-5506
Entity
Organization
Contact information
Practice address
13708 CAPTAIN MARBURY LN, UPPER MARLBORO, MD 20772-6118
(301) 417-5506
(301) 235-1587
Mailing address
13708 CAPTAIN MARBURY LN, UPPER MARLBORO, MD 20772-6118
(301) 417-5506
(301) 235-1587
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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