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Individual

KARA HOPKINS MICIOTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
Mailing address
106 CHESTNUT ST, FRUITLAND, MD 21826-1711
(443) 783-8670

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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