Individual
KATHERINE SPOHN STREETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 SUNRISE BEACH RD, CROWNSVILLE, MD 21032-1126
(410) 991-7663
Mailing address
764 BARGER DR, CROWNSVILLE, MD 21032-1230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP9183
MD
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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