Individual
MS. MARIA LORETO MIRANDA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 KNOLL NORTH DR, 370, COLUMBIA, MD 21045-2370
(410) 837-2050
(410) 234-8177
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(410) 752-1374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6787
MD
Other
Enumeration date
02/22/2016
Last updated
05/05/2017
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