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Individual

MARTHA DANIELA CHICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(410) 401-8201
Mailing address
7406 EDSWORTH RD, DUNDALK, MD 21222-1310
(443) 825-2041

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13672
MD
101YM0800X
Mental Health Counselor
LGP11353
MD

Other

Enumeration date
04/20/2021
Last updated
03/27/2023
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