Individual
OMNI-ROSE CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 WHITE OAKS LN, POCOMOKE CITY, MD 21851-9589
(410) 726-3548
Mailing address
6655 SANTA BARBARA RD UNIT 8574, ELKRIDGE, MD 21075-7523
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14735
MD
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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