State of Wellness, INC

NPI #1700241577 in Columbia, Maryland

Provider Information

NPI Number: 1700241577
Entity Type: Organization
Organization Name: State of Wellness, INC
Primary Specialty: Health Educator
Enumeration Date: Dec 22, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 9622 BASKET RING ROAD
City: Columbia
State: Maryland
ZIP Code: 21045-3418
Phone: (410) 715-2268

Authorized Official

Name: MICHAELA ANN CONLEY, MS, MCHES
Title: EXECUTIVE DIRECTOR
Phone: (410) 715-2268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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