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Individual

MRS. PATRICIA ELIZABETH LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S, CCDC, CPC-AD

Contact information

Practice address
260 GATEWAY DR, SUITE 18A, BEL AIR, MD 21014-4268
(410) 893-3896
(410) 893-3896
Mailing address
2112 HAMPTON CT, FALLSTON, MD 21047-2022
(410) 893-3896
(410) 877-2936

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0032
MD

Other

Enumeration date
01/27/2007
Last updated
07/08/2007
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