Individual
LOLETTA R OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4128 HAYWARD AVE, BALTIMORE, MD 21215-4340
(410) 314-1030
Mailing address
PO BOX 19425, BALTIMORE, MD 21206-0425
(443) 561-4779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15604
MD
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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