Organization
WILLOW GROVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CHMIELEWSKI LCSW-C, PMH-C (CLINICAL SOCIAL WORKER)
(443) 356-6165
Entity
Organization
Contact information
Practice address
808 REGESTER AVE, IDLEWYLDE, MD 21239-1345
(443) 356-6165
Mailing address
808 REGESTER AVE, IDLEWYLDE, MD 21239-1345
(443) 356-6165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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