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Individual

DR. GEORGIA MARIE ROYALTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5127 LITTLE CREEK DR, ELLICOTT CITY, MD 21043-7922
(410) 465-4634
Mailing address
5127 LITTLE CREEK DR, ELLICOTT CITY, MD 21043-7922
(410) 465-4634

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
01833
MD

Other

Enumeration date
02/04/2008
Last updated
02/04/2008
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