Individual
AMIE BERESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 HARTLEY CIR APT 446, OWINGS MILLS, MD 21117-5290
(561) 543-6150
Mailing address
18 HARTLEY CIR APT 446, OWINGS MILLS, MD 21117-5290
(561) 543-6150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10080
MD
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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