Individual
PAMELA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12350 HALL SHOP RD, FULTON, MD 20759-9774
(301) 318-7147
Mailing address
8545 SCHOLARS LN, LAUREL, MD 20723-2019
(301) 318-7147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP16254
MD
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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