Individual
KIE-AIRE SAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 EDGEMEADE RD, UPPER MARLBORO, MD 20772-8088
(301) 358-0192
Mailing address
9207 FOX STREAM WAY, UPPER MARLBORO, MD 20772-2520
(240) 438-7503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
28467
MD
104100000X
Social Worker
28467
MD
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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