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Individual

JEAN-MARIE MARHEFKA RODDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(410) 656-9416
Mailing address
9041 NAYGALL RD, PARKVILLE, MD 21234-1335
(434) 473-2332

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC2183
MD
101YP2500X
Professional Counselor
Primary
LC2183
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012579200
MD
Enumeration date
10/25/2007
Last updated
10/02/2023
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