Individual provider · NPI-1

Abigail Addy

Community/Behavioral Health · Glen Burnie, MD

NPI number1346936622
StatusActive
Last updated in NPPESApr 12, 2023

Details

NPI
1346936622
Entity type
Individual (NPI-1)
Name
Abigail Addy
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 11, 2023
Certification date
Apr 12, 2023
Last updated
Apr 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

307 Maple Tree Dr Apt 3d
Glen Burnie, MD 21060-8579

Phone 240-899-4526

Mailing address

307 Maple Tree Dr Apt 3d
Glen Burnie, MD 21060-8579

Phone 240-899-4526

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