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Individual

SARA MOORHEAD PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT

Contact information

Practice address
8182 LARK BROWN RD, STE 201, ELKRIDGE, MD 21075-6428
(410) 696-2183
Mailing address
3871 SPENCER CT, ELLICOTT CITY, MD 21042-4945
(410) 988-5231

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM319
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2199715
MAMSC OPTIMUM CHOICE
MD
Enumeration date
02/21/2007
Last updated
08/18/2008
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