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Organization

HEALING FOR HER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINICKA W SMITH (THERAPIST/OWNER)
(443) 892-3626
Entity
Organization

Contact information

Practice address
516 N ROLLING RD, CATONSVILLE, MD 21228-4140
(443) 892-3626
Mailing address
516 N ROLLING RD, CATONSVILLE, MD 21228-4140

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20015
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952811499
MD
Enumeration date
03/09/2018
Last updated
06/16/2018
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