Individual
LINDA T ULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5 N BENTZ ST, FREDERICK, MD 21701-4913
(301) 631-2936
(301) 631-2937
Mailing address
307 W COLLEGE TER, FREDERICK, MD 21701-4845
(301) 663-6749
(301) 631-2937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10951
MD
Other
Enumeration date
11/07/2005
Last updated
03/18/2009
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