Individual
LEE ANN KINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4301 ROLAND SPRINGS DRIVE, BALTIMORE, MD 21210
(443) 695-3539
Mailing address
4301 ROLAND SPRINGS DRIVE, BALTIMORE, MD 21210
(443) 695-3539
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
02909
MD
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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