Individual
MR. ROY HAMILTON MACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
4317 HARFORD RD, BALTIMORE, MD 21214-3118
(443) 224-5443
Mailing address
653 POSSUM TROT WAY, ABERDEEN, MD 21001-2658
(443) 224-5443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9275
MD
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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