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Individual

KIANA M BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, LGPC

Contact information

Practice address
3210 CULVER ST, TEMPLE HILLS, MD 20748-4515
(301) 741-0979
Mailing address
3210 CULVER ST, TEMPLE HILLS, MD 20748-4515
(301) 741-0979

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9147
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83-3448762
IRS
MD
Enumeration date
02/18/2019
Last updated
02/18/2019
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