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Organization

SIMONE BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER SULLIVAN (CREDENTIALING SPECIALIST)
(269) 547-9730
Entity
Organization

Contact information

Practice address
209 WEST ST STE 2015, ANNAPOLIS, MD 21401-3441
(410) 300-7502
Mailing address
209 WEST ST STE 2015, ANNAPOLIS, MD 21401-3441
(410) 300-7502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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