Individual
MR. LAURA C LILLICOTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5316 HOFFMANVILLE RD, MANCHESTER, MD 21102-2237
(443) 570-8511
Mailing address
5316 HOFFMANVILLE RD, MANCHESTER, MD 21102-2237
(443) 570-8511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1288
MD
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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