Individual
NICOLE MABURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 WILLOWBROOK ROAD, CUMBERLAND, MD 21502
(301) 777-2285
(301) 777-5832
Mailing address
12501 WILLOWBROOK RD, CUMBERLAND, MD 21502-2569
(301) 777-2285
(301) 777-5832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1440
MD
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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