Individual
ALICE WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
59 KATE WAGNER RD, WESTMINSTER, MD 21157-6957
(410) 848-2500
Mailing address
815 RITCHIE HWY STE 112, SEVERNA PARK, MD 21146-4192
(667) 500-4556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15631
MD
Other
Enumeration date
09/19/2024
Last updated
10/23/2024
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