Organization
CHANGING TURN COMMUNITY THERAPUETIC GROUP PRATICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMMANUELLA OWOBU LCPC (LICENSED CLINICAL COUNSLEOR)
(443) 708-1461
Entity
Organization
Contact information
Practice address
5438 YORK RD, SUITE 103, BALTIMORE, MD 21212-3842
(443) 708-1461
Mailing address
5438 YORK RD, SUITE 103, BALTIMORE, MD 21212-3842
(443) 708-1461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4839
MD
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/09/2013
Last updated
06/19/2013
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