Individual
MS. MARY MCMANUS GUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
22 W PADONIA RD, SUITE C-252, LUTHERVILLE, MD 21093-2226
(410) 561-1114
(410) 821-0790
Mailing address
18 SPARKS FARM RD, SPARKS, MD 21152-9300
(410) 472-1434
(410) 821-0790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC0610
MD
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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