Organization
SHORE RESOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN BRENNER LCSW-C (OWNER/ THERAPIST)
(410) 228-4357
Entity
Organization
Contact information
Practice address
211 HIGH ST., CAMBRIDGE, MD 21613-1816
(410) 228-4357
Mailing address
211 HIGH ST., CAMBRIDGE, MD 21613-1816
(410) 228-4357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14584
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033870200
—
MD
Enumeration date
11/22/2010
Last updated
12/01/2010
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