Individual
PHYLLIS ELIZABETH FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1122 KENILWORTH DR, TOWSON, MD 21204-2139
(443) 841-7785
Mailing address
1122 KENILWORTH DR, TOWSON, MD 21204-2139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12107
MD
Other
Enumeration date
09/11/2018
Last updated
11/04/2021
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