Individual
PHOENIX HARLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 VINE ST, BALTIMORE, MD 21201-1420
(443) 531-8131
Mailing address
703 VINE ST, BALTIMORE, MD 21201-1420
(443) 531-8131
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/25/2025
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