Provider Information for 1134770936
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Mrs. CHELSEA T LUEBBERT
Other Names:Former Name:CHELSEA BRAUNS LCSWSex: Female
NPI: 1134770936
Last Updated: 2021-01-07
Certification Date: 2021-01-07
Certification Date: 2021-01-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134770936 | ||||||||
| Enumeration Date | 2019-09-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 503 MARC RD MILLERSVILLE, MD 21108-1529 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1600 CRAIN HWY S STE 503 GLEN BURNIE, MD 21061-6443 United States Phone: 443-354-1200 | Fax:410-553-0019 | ||||||||
| Secondary Practice Address(es) | 503 MARC RD | ||||||||
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