Provider First Line Business Practice Location Address:
2850 N. RIDGE RD. SUITE 208A
Provider Second Line Business Practice Location Address:
SANTORO PSYCHOLOGICAL SERVICES
Provider Business Practice Location Address City Name:
ELLICOTT CITY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-988-5943
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2019