Individual
MRS. JULIANN ELIZABETH SIWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5116 DORSEY HALL DR STE B, ELLICOTT CITY, MD 21042-7877
(410) 995-8274
Mailing address
5116 DORSEY HALL DR STE B, ELLICOTT CITY, MD 21042-7877
(410) 995-8274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14085
MD
Other
Enumeration date
08/09/2023
Last updated
04/03/2024
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