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Individual

MRS. KARA BETH IACOVELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
1419 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-2719
(410) 424-2983
Mailing address
7717 ZENA MARIE LN, PASADENA, MD 21122-1692
(410) 294-5211

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189331
MD

Other

Enumeration date
07/02/2019
Last updated
07/19/2019
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