Individual
LARA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-2820
Mailing address
111 W CENTRE ST APT 1402, BALTIMORE, MD 21201-4635
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05883
MD
Other
Enumeration date
05/02/2016
Last updated
12/26/2019
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