Individual
GRACE LUSTIG MARUDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
205 E JOPPA RD STE 106, TOWSON, MD 21286-3203
(410) 337-0007
Mailing address
1724 EUTAW PL APT 1B, BALTIMORE, MD 21217-4785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9467
MD
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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