Individual
SAMANTHA O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 REISTERSTOWN RD, PIKESVILLE, MD 21208-1416
(443) 213-5906
Mailing address
9754 RED CLOVER CT, PARKVILLE, MD 21234-1870
(484) 553-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP6568
MD
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/05/2024
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