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MS. ELIZABETH BOHAKER

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932408242

Individual Registrant:
MS. ELIZABETH  BOHAKER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
205 N LIBERTY ST  CENTREVILLE, MD 21617-1022 US
Tel: 410-758-1306  Fax: 410-758-2133

Contact information for business:
206 N COMMERCE ST  CENTREVILLE, MD 21617-1049 US
Tel: 410-758-1306  Fax: 410-758-2133

Registration Information:
NPI: 1932408242
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MD

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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