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Individual

LAWRENCE G IACARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1110 BENFIELD BLVD, SUITE H, MILLERSVILLE, MD 21108-2639
(410) 987-3448
(410) 987-4710
Mailing address
1110 BENFIELD BLVD, SUITE H, MILLERSVILLE, MD 21108-2639
(410) 987-3448
(410) 987-4710

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A0216
MD
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/02/2012
Last updated
10/16/2018
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