Individual
CARLYN MAIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1301 YORK RD STE 706, TIMONIUM, MD 21093-6010
(443) 901-6227
Mailing address
5604 ASHBOURNE RD, HALETHORPE, MD 21227-3954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14886
MD
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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