Individual
LUKE DEBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW, CAC-AD
Contact information
Practice address
171A RYAN RD, PASADENA, MD 21122-4541
(410) 202-8951
Mailing address
171A RYAN RD, PASADENA, MD 21122-4541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20144
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20144
SOCIAL WORKER
MD
Enumeration date
10/02/2017
Last updated
03/17/2018
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