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Individual

MARY LYNN PANOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSCAD

Contact information

Practice address
1361 BRASS MILL RD STE A, BELCAMP, MD 21017-1213
(410) 273-9700
(410) 273-9713
Mailing address
4208 WOLF CT, HAMPSTEAD, MD 21074-2000
(410) 274-4290

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1915
MD

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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