Individual
KAMI THEKLA PROCOPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LCPC
Contact information
Practice address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
Mailing address
707 REMINGTON RD, FALLSTON, MD 21047-2414
(570) 898-8520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3812
MD
Other
Enumeration date
02/25/2010
Last updated
03/22/2011
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