Individual
MARYANN ETUKUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 BALTIMORE AVE # 817, LAUREL, MD 20707-4902
(240) 806-8401
Mailing address
14625 BALTIMORE AVE # 817, LAUREL, MD 20707-4902
(240) 806-8401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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