Provider First Line Business Practice Location Address:
10 DISTILLERY LANE SUITE 200
Provider Second Line Business Practice Location Address:
CARROLL COUNTY HEALTH DEPARTMENT BUREAU OF PREVENTION W
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-871-1478
Provider Business Practice Location Address Fax Number:
443-952-7599
Provider Enumeration Date:
04/22/2015