Individual
MS. MARIE E MASTRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1927A YORK RD, REAR BUILDING, LUTHERVILLE, MD 21093-4225
(443) 417-4243
Mailing address
1927A YORK RD REAR, LUTHERVILLE, MD 21093-4225
(443) 417-4243
(315) 245-0352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922801200
—
MD
Enumeration date
04/20/2007
Last updated
03/03/2011
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