Individual
EILEEN DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 STERRETT PL STE 205, COLUMBIA, MD 21044-2649
(410) 730-1333
Mailing address
104 WILDERNESS DR APT 139, NAPLES, FL 34105-2607
(239) 302-5369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05705
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366585739
COLUMBIA ADDICTIONS CENTER
MD
Enumeration date
01/02/2021
Last updated
01/02/2021
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