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Individual

LACY ANN HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSC-AD

Contact information

Practice address
251 ROWE BLVD, ROOM 224, ANNAPOLIS, MD 21401-1539
(410) 260-1976
(410) 260-1979
Mailing address
251 ROWE BLVD, ROOM 224, ANNAPOLIS, MD 21401-1539
(410) 260-1976
(410) 260-1979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1014A00X
MD

Other

Enumeration date
07/29/2016
Last updated
07/29/2016
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