Individual
MARY PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 EDMONDSON AVE, BALTIMORE, MD 21229-1612
(443) 904-3174
Mailing address
3901 PUTTY HILL AVE, NOTTINGHAM, MD 21236-3630
(443) 725-4257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4306
MD
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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