Individual
SARA MALONE BLANKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8181 MAIN ST APT 2, ELLICOTT CITY, MD 21043-4929
(410) 505-0062
(410) 650-5893
Mailing address
14552 QUAKER BOTTOM RD, SPARKS GLENCOE, MD 21152-9601
(443) 465-5801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AT400
MD
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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