Organization
WELLSPRING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEMBI DEPASS (PRESIDENT)
(240) 620-3028
Entity
Organization
Contact information
Practice address
11926 TWINLAKES DR, APT 27, BELTSVILLE, MD 20705-6106
(502) 609-0654
Mailing address
2805 KLEIN CT, CROFTON, MD 21114-3118
(240) 620-3028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07028
MD
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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