Individual
RENEE LYNN DEBOARD-LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-2345
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-2345
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05159
MD
Other
Enumeration date
06/16/2011
Last updated
09/16/2021
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