Individual
BRENDALINE SOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 ROXY DR, WINDSOR MILL, MD 21244-2064
(240) 394-1814
Mailing address
7525 ROXY DR, WINDSOR MILL, MD 21244-2064
(240) 394-1814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
07/25/2023
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