Individual
LAUREN AYCOCK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMFT, NCC
Contact information
Practice address
5710 NEWBURY ST STE 1, BALTIMORE, MD 21209-3657
(443) 687-9951
Mailing address
5710 NEWBURY ST STE 1, BALTIMORE, MD 21209-3657
(443) 687-9951
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM661
MD
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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