Individual
LILLIAN STREAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPAT
Contact information
Practice address
8181 MAIN ST APT 2, ELLICOTT CITY, MD 21043-4929
(410) 505-0062
Mailing address
710 PIN OAK RD, SEVERNA PARK, MD 21146-3609
(443) 223-7069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ATG336
MD
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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