Individual
MALLORY KAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 SAINT PAUL RD, HAMPSTEAD, MD 21074-1920
(443) 605-6637
Mailing address
4111 SAINT PAUL RD, HAMPSTEAD, MD 21074-1920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP12940
MD
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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