Individual
SAMANTHA MARIE AMEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 N MAIN ST STE 308, BEL AIR, MD 21014-8808
(443) 987-6190
Mailing address
612 E MACPHAIL RD, BEL AIR, MD 21014-4414
(443) 632-7667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10107
MD
Other
Enumeration date
11/05/2018
Last updated
08/04/2022
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