Individual
COURTNEY ANNE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
247 E MAIN ST, WESTMINSTER, MD 21157-5228
(443) 289-8149
Mailing address
6117 PINE CREST LN, FREDERICK, MD 21701-7600
(512) 914-0870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24082
MD
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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