Individual
SANTANA MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 812-3750
Mailing address
11301 DOGWOOD DR APT 21, HAGERSTOWN, MD 21740-7002
(240) 469-8640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39730
MD
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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