Individual
BIANCA DESIREE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1600
(443) 625-1520
Mailing address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(757) 806-1559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9842
MD
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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