Individual
MR. PAUL DAVID IMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
130 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678-4029
(410) 535-2500
Mailing address
2304 CARDINAL WAY, CHESAPEAKE BEACH, MD 20732-4655
(410) 610-5140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10049
MD
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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