Individual
MR. MARK DENIS LARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
234 W LAFAYETTE AVE, BALTIMORE, MD 21217-4215
(443) 615-3670
Mailing address
234 W LAFAYETTE AVE, BALTIMORE, MD 21217-4215
(443) 615-3670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13670
MD
Other
Enumeration date
06/13/2013
Last updated
01/07/2014
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