Individual
ANDREA EIBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 RONSDALE RD, ELDERSBURG, MD 21784-8957
(443) 629-5887
Mailing address
419 RONSDALE RD, ELDERSBURG, MD 21784-8957
(443) 629-5887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1612
MD
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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