Individual
KIMBERLY ANN PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1616 MIDWAY RD, CHESTER, MD 21619-2858
(410) 231-3343
Mailing address
1616 MIDWAY RD, CHESTER, MD 21619-2858
(410) 231-3343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15599
MD
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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