Individual
TYRESE LOIS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LERNER CT, NOTTINGHAM, MD 21236-3009
(443) 969-5542
Mailing address
19 LERNER CT, NOTTINGHAM, MD 21236-3009
(443) 969-5542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP11244
MD
Other
Enumeration date
08/14/2021
Last updated
07/08/2022
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