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Individual

MS. MARY BRANCH FOARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MA, LGPC

Contact information

Practice address
1110 BENFIELD BLVD, SUITE J, MILLERSVILLE, MD 21108-2639
(410) 627-3859
(410) 987-4710
Mailing address
228 AMBLESIDE DR, SEVERNA PARK, MD 21146-1220
(410) 627-3859
(410) 987-4710

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP5270
MD

Other

Enumeration date
02/05/2017
Last updated
02/05/2017
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