Individual
MARY MARGARET BAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5510 NATHAN SHOCK DR, BALTIMORE, MD 21224-6823
(410) 550-1600
(410) 550-3826
Mailing address
917 COUNTRY CLUB RD, HAVRE DE GRACE, MD 21078-2106
(410) 273-9350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1338
MD
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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