Provider First Line Business Practice Location Address:
277 PENINSULA FARM ROAD
Provider Second Line Business Practice Location Address:
STE I BAYSHORE COUNSELING & PSYCHOLOGICAL SERVICES LLC
Provider Business Practice Location Address City Name:
ARNOLD
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-315-8253
Provider Business Practice Location Address Fax Number:
410-315-8256
Provider Enumeration Date:
12/19/2006