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Individual

KELLY GUYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6535 N CHARLES ST STE 300, BALTIMORE, MD 21204-5824
(443) 604-5988
(410) 427-3859
Mailing address
6535 N CHARLES ST STE 300, BALTIMORE, MD 21204-5824
(443) 604-5988
(410) 427-3859

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11622
MD
101YP2500X
Professional Counselor
LGP9207
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38-3876389
MD
Enumeration date
12/06/2018
Last updated
07/16/2021
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