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Individual

SAVANNAH KELLY BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1122 KENILWORTH DR STE 105, TOWSON, MD 21204-2141
(443) 849-4000
Mailing address
20 PAULA PL, ROSEDALE, MD 21237-4547

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14884
MD

Other

Enumeration date
02/29/2024
Last updated
02/05/2025
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