Individual
TOWANDA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6665 SECURITY BOULEVARD, WOODLAWN, MD 21207
(410) 265-7291
(410) 265-7294
Mailing address
6665 SECURITY BOULEVARD, WOODLAWN, MD 21207
(410) 265-7291
(410) 265-7294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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