Provider First Line Business Practice Location Address:
100 E ALL SAINTS ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SOCIAL SERVICES
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21701-6557
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-600-4258
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2007