Individual
MRS. SAMANTHA AVERY LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
801 N BROADWAY, BALTIMORE, MD 21205-1424
(443) 923-9470
Mailing address
3921 FAIT AVE, BALTIMORE, MD 21224-4332
(443) 472-5191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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