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Individual

GREGORY RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
5420 KLEE MILL RD S STE 6, SYKESVILLE, MD 21784-9230
(410) 552-5290
Mailing address
5420 KLEE MILL RD S STE 6, SYKESVILLE, MD 21784-9230
(410) 552-5290

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1958
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
684BGA
CARE FIRST MD
MD
01
K4020001
CARE FIRST DC
DC
Enumeration date
02/28/2007
Last updated
07/08/2007
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