Individual
THERESA TYLER-PEGUESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N GREENE ST, 6B-147, BALTIMORE, MD 21201-1524
(410) 605-7287
Mailing address
949 JOSHUA TREE CT, OWINGS MILLS, MD 21117-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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