Individual
MYKELA VASHTI LEVANI FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 N MAIN ST STE 301, BEL AIR, MD 21014-8808
(443) 567-7037
Mailing address
305 SHAGBARK RD, BALTIMORE, MD 21220-3903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14913
MD
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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