Waller, Marjorie Celeste
Waller, Marjorie Celeste is an individual health care provider with primary practice located at 2825 Mountain Road Suite 204, Pasadena MD 21122-0427. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Waller, Marjorie Celeste can be contacted via phone (443) 548-3733.Contact Information
Primary practice address
2825 Mountain Road Suite 204
Pasadena MD 21122-0427
Phone: (443) 548-3733
Fax: (410) 360-1675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADT1907 | Maryland |
Profile Details
| NPI number | 1558821892 |
|---|---|
| LBN Legal business name | Waller, Marjorie Celeste |
| Credentials | ADT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Mar 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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