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GLORIA MICHAELA CHIANTELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
5840 BANNEKER RD STE 200, COLUMBIA, MD 21044-3156
(410) 457-3196
(410) 457-3197
Mailing address
8016 JANE GARTH, JESSUP, MD 20794-9556
(410) 905-0280

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP7961
MD

Other

Enumeration date
08/14/2017
Last updated
08/14/2017
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