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Individual

CHARDONNAY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9730 HEALTHWAY DRIVE, WORCESTER CO. HEALTH DEPARTMENT - BERLIN HEALTH CENTER, BERLIN, MD 21811
(410) 629-0164
(410) 629-0185
Mailing address
911 JOHNSON ST, SALISBURY, MD 21804-3862
(410) 742-8581

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
705371101
MD
Enumeration date
05/18/2011
Last updated
05/18/2011
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